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NPI Code Detail

MEDICARE: MELANIE DODD WESLEY APRN-PMHNP-BC

MEDICARE:   MELANIE  DODD WESLEY  APRN-PMHNP-BC
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
1163WP0808XPsychiatric/Mental Health Registered Nurse236387AR

General Provider Information

NPI Number : 1770892069
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELANIE DODD WESLEY APRN-PMHNP-BC
Provider Business Mailing Address
First Line : 4460 OREGON TRL
Second Line :
City : CONWAY
State : AR
Zip : 72034-3390
Country : US
Telephone Number : 870-995-3320
Fax Number :
Provider Business Practice Location Address
First Line : 4460 OREGON TRL
Second Line :
City : CONWAY
State : AR
Zip : 72034-3390
Country : US
Telephone Number : 870-995-3320
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2010
Last Update Date : 03/03/2026

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Directions to “ MELANIE DODD WESLEY APRN-PMHNP-BC” Practice Location

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