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NPI Code Detail

MEDICARE: MELISSA LAUREN KIRKLAND FNP

MEDICARE:   MELISSA LAUREN KIRKLAND  FNP
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
1363L00000XNurse PractitionerRN2266145MA
2363LF0000XFamily Nurse PractitionerRN2266145MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811306061
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LAUREN KIRKLAND FNP
Provider Business Mailing Address
First Line : 320 WASHINGTON ST
Second Line :
City : NORTH EASTON
State : MA
Zip : 02357-0001
Country : US
Telephone Number : 508-565-1307
Fax Number : 508-565-1510
Provider Business Practice Location Address
First Line : 320 WASHINGTON ST
Second Line :
City : NORTH EASTON
State : MA
Zip : 02357-0001
Country : US
Telephone Number : 508-565-1307
Fax Number : 508-565-1510
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2014
Last Update Date : 03/04/2022

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