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Ms. Melissa Diane Grisaffe, AGACNP
Adult Health Nurse Practitioner in Springfield, Missouri
NPI 1154724144

Melissa Diane Grisaffe is an Adult Health Nurse Practitioner based in Little Rock, MO and is specialized in Adult Health. Melissa Diane Grisaffe practices in Springfield, MO and has the professional credentials of AGACNP. The NPI Number for Melissa Diane Grisaffe is 1154724144 and holds a License No. 2014022681 (Missouri).

The current practice location address for Melissa Diane Grisaffe is 2115 S Fremont Ave, Springfield, MO and can be reached out via phone at 417-820-5200 and via fax at 417-820-5220.

Location: 2115 S Fremont Ave, Springfield, MO, 72225-1420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154724144
Provider Name
Melissa Diane Grisaffe
Credential
AGACNP
Provider Entity Type
Individual
Gender
Female
Address
2115 S Fremont Ave, Springfield, MO, 72225-1420
Phone Number
417-820-5200
Fax Number
417-820-5220
Provider Enumeration Date
10/03/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1154724144 05 MO
institution
Provider Business Practice Location Address Details
Address
2115 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2239
Phone Number
417-820-5200
Fax Number
417-820-5220
person
Provider Business Mailing Address Details
Address
2115 S Fremont Ave
City
Springfield
State
Missouri
Zip
65804-2239
Phone Number
417-820-5200
Fax Number
417-820-5220
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
A004218 (Arkansas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
2014022681 (Missouri)
Definition
Definition to come...
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