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Dr. Melissa Waybrant-ennis, APRN,DNP,PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner in Live Oak, Florida
NPI 1780118885

Melissa Waybrant-ennis is a Psychiatric/Mental Health Nurse Practitioner based in Live Oak, FL and is specialized in Psychiatric/Mental Health. Melissa Waybrant-ennis practices in Live Oak, FL and has the professional credentials of APRN,DNP,PMHNP-BC. The NPI Number for Melissa Waybrant-ennis is 1780118885 and holds a License No. 209015760 (Florida).

The current practice location address for Melissa Waybrant-ennis is 5964 Us Highway 90, Live Oak, FL and can be reached out via phone at 302-981-8484 and via fax at 833-672-3395.

Location: 5964 Us Highway 90, Live Oak, FL, 32060-8694
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780118885
Provider Name
Melissa Waybrant-ennis
Credential
APRN,DNP,PMHNP-BC
Provider Entity Type
Individual
Gender
Female
Address
5964 Us Highway 90, Live Oak, FL, 32060-8694
Phone Number
302-981-8484
Fax Number
833-672-3395
Provider Enumeration Date
04/14/2017
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104165900 05 FL
11003223 01 FL APRN
209015760 01 IL ADVANCED PRACTICE NURSE
institution
Provider Business Practice Location Address Details
Address
5964 Us Highway 90
City
Live Oak
State
Florida
Zip
32060-8694
Phone Number
302-981-8484
Fax Number
833-672-3395
person
Provider Business Mailing Address Details
Address
5964 Us Highway 90
City
Live Oak
State
Florida
Zip
32060-8694
Phone Number
302-981-8484
Fax Number
833-672-3395
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
209015760 (Illinois)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
209015760 (Illinois)
Definition
Definition to come...
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