person
Mrs. Mellisa Dawn Black, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Festus, Missouri
NPI 1619673894

Mellisa Dawn Black is a Psychiatric/Mental Health Nurse Practitioner based in Festus, MO and is specialized in Psychiatric/Mental Health. Mellisa Dawn Black practices in Festus, MO and has the professional credentials of PMHNP-BC. The NPI Number for Mellisa Dawn Black is 1619673894 and holds a License No. 2023002795 (Missouri).

The current practice location address for Mellisa Dawn Black is 1400 Us Highway 61 Ste 150, Festus, MO and can be reached out via phone at 636-543-2230. You can also correspond with Mellisa Dawn Black through the mailing address at 1400 US HIGHWAY 61 STE 150, FESTUS, MO - 63028-4141 (mailing address contact number: 636-543-2230).

Location: 1400 Us Highway 61 Ste 150, Festus, MO, 63028-4141
person
Provider Profile Details
NPI Number
1619673894
Provider Name
Mellisa Dawn Black
Credential
PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1400 Us Highway 61 Ste 150, Festus, MO, 63028-4141
Phone Number
636-543-2230
Fax Number
Provider Enumeration Date
01/31/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1400 Us Highway 61 Ste 150
City
State
Zip
63028-4141
Phone Number
636-543-2230
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Us Highway 61 Ste 150
City
State
Zip
63028-4141
Phone Number
636-543-2230
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2023002795 (Missouri)
Definition
Definition to come...
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