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NPI Code Detail

MEDICARE: MRS. MICHAELLE DUBUISSON MSN, APRN, FNP-C

MEDICARE: MRS. MICHAELLE DUBUISSON MSN, APRN, 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.025702OH
2363LF0000XFamily Nurse PractitionerF345400-01NY

General Provider Information

NPI Number : 1891113387
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MICHAELLE DUBUISSON MSN, APRN, FNP-C
Provider Business Mailing Address
First Line : 5981 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2211
Country : US
Telephone Number : 937-438-5954
Fax Number :
Provider Business Practice Location Address
First Line : 5981 FAR HILLS AVE
Second Line :
City : DAYTON
State : OH
Zip : 45429-2211
Country : US
Telephone Number : 937-438-5954
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2014
Last Update Date : 01/07/2026

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