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NPI Code Detail

MEDICARE: MRS. MELISSA ANN BRACKETT CNM

MEDICARE: MRS. MELISSA ANN BRACKETT CNM
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 PractitionerAPN.31393APRNSC

General Provider Information

NPI Number : 1932067808
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISSA ANN BRACKETT CNM
Provider Business Mailing Address
First Line : 1850 MOTLOW CREEK RD
Second Line :
City : CAMPOBELLO
State : SC
Zip : 29322-8131
Country : US
Telephone Number : 864-978-2031
Fax Number :
Provider Business Practice Location Address
First Line : 850 FLOYD ROAD EXT
Second Line :
City : SPARTANBURG
State : SC
Zip : 29307-1048
Country : US
Telephone Number : 864-285-0574
Fax Number : 864-285-0583
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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