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NPI Code Detail

MEDICARE: MELISSA GRIFFITH-MCCALLA FNP-C

MEDICARE:   MELISSA  GRIFFITH-MCCALLA  FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN.CNP.0038082OH

General Provider Information

NPI Number : 1487461133
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA GRIFFITH-MCCALLA FNP-C
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Provider Business Practice Location Address
First Line : 3545 LINCOLN WAY E STE B
Second Line :
City : MASSILLON
State : OH
Zip : 44646-8624
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-460-2997
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2024
Last Update Date : 03/03/2026

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Directions to “ MELISSA GRIFFITH-MCCALLA FNP-C” Practice Location

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