MEDICARE: MELISSA A. LIGHTNER CRNP

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
1	363LF0000X	Family Nurse Practitioner	SP016546	PA
2	363L00000X	Nurse Practitioner	SP016546	PA

General Provider Information

NPI Number	:	1598208951
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A. LIGHTNER CRNP

Provider Business Mailing Address
First Line	:	100 N ACADEMY AVE
Second Line	:
City	:	DANVILLE
State	:	PA
Zip	:	17822-4903
Country	:	US
Telephone Number	:	570-271-6144
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 E 3RD ST
Second Line	:
City	:	LEWISTOWN
State	:	PA
Zip	:	17044-1712
Country	:	US
Telephone Number	:	717-242-7297
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2016
Last Update Date	:	07/24/2020

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