MISS MELISSA LYNN FANNON (NPI# 1891245981) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891245981 |
| Entity Type | Individual |
| Full Name | MISS MELISSA LYNN FANNON |
| Credential | CRNP |
| Practice Address |
120 Campus Dr Martinsburg WV 25404-7552 |
| Mailing Address |
799 Rockville Pike Rockville MD 20852-1136 |
| Practice Telephone | 6812471260 |
| Practice Fax Number | 6812471261 |
| Mailing Telephone | 4102050444 |
| Enumeration Date | 2016-10-12 |
| Last Update Date | 2020-10-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
105608 | WV | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP016840 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
R184523 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1800 Orleans St, Baltimore, MD 212870010 | 4102050444 | |
| 4803 Gerrardstown Rd, Inwood, WV 254283450 | 3048219011 | 3048219012 |
| 799 Rockville Pike, Rockville, MD 208521136 | 3013402728 |
| Street Address |
120 CAMPUS DR |
| City | MARTINSBURG |
| State | WV |
| Zip Code | 25404-7552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689206716 | Jennifer Moran | Nurse Practitioner | 120 Campus Dr, Suite 100, Martinsburg, WV 25404 | 2020-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385854 | Krystal Murdock | Technician | 171 Shrewsburg Dr, Martinsburg, WV 25404 | 2020-10-28 |
| 1225678246 | East Mountain Health Physicians, Inc. | Family Medicine | 120 Campus Drive, Suite 211, Martinsburg, WV 25404 | 2020-01-07 |
| 1275094575 | Ultimate Hearing Solutions Vi, LLC | Audiologist-Hearing Aid Fitter | 115 Alkens Center Boulevard Plaza, Suite 17, Marinsburg, WV 25404 | 2019-03-28 |
| 1033626478 | Megan Mauricio | Physician Assistant | 61 Campus Drive, Suite 200, Martinsburg, WV 25404 | 2018-01-08 |
| 1043727787 | University Healthcare Physicians, Inc. | Clinic/Center | 61 Campus Dr, Martinsburg, WV 25404 | 2018-01-03 |
| 1669822821 | Pamela Elaine Collins | Counselor | 2883 Greensburg Rd., Martinsburg, WV 25404 | 2016-06-20 |
| 1134509870 | Gabrielle Helms | Dentist | 58 Warm Springs Ave., Martinsburg, WV 25404 | 2015-06-08 |
| 1750794509 | Colette Robinson | Technician | 222 1/2 Vicky Bullett Street, Martinsburg, WV 25404 | 2014-06-10 |
| 1730591116 | Vel Anne Schlachter | Family Medicine | 35 Aiken Center, Martinsburg, WV 25404 | 2014-05-20 |
| 1689954109 | Medexpress Urgent Care, Inc. - West Virginia | Emergency Medicine | 1355 Edwin Miller Boulevard, Suite A, Martinsburg, WV 25404 | 2011-08-29 |
| Find all providers in zip 25404 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962020537 | Christina Anne Williams | Nurse Practitioner | 2100 Hospital Drive, Martinsburg, WV 25401 | 2020-07-10 |
| 1407319726 | Kimberly Anne Saul | Nurse Practitioner | 3 Ceritos Trl, Martinsburg, WV 25403-0300 | 2019-04-12 |
| 1578911293 | Christina Marie Van Hilst | Nurse Practitioner | 1001 Sushruta Dr, Martinsburg, WV 25401 | 2016-06-03 |
| 1316231392 | Carrie Ann Chase | Nurse Practitioner | 615 Steeple Chase Ln, Martinsburg, WV 25404-0529 | 2011-06-07 |
| 1730119447 | Stephanie Dawn Gladden | Nurse Practitioner | 1000 Tavern Rd Ste 100, Martinsburg, WV 25401-2853 | 2006-07-05 |
| 1659972701 | Julie C Riggleman | Nurse Practitioner | 510 Butler Ave, Martinsburg, WV 25405-9990 | 2020-11-05 |
| 1689206716 | Jennifer Moran | Nurse Practitioner | 120 Campus Dr, Suite 100, Martinsburg, WV 25404 | 2020-02-06 |
| 1275174377 | Cassandra Lynn Prasad | Nurse Practitioner | 2000 Foundation Way Ste 3200, Martinsburg, WV 25401-9199 | 2019-10-01 |
| 1346807849 | Alexander Ayonbo Oboro | Nurse Practitioner | 429 S Market St, Martinsburg, PA 16662-1005 | 2019-05-21 |
| 1790254829 | Caitlin Schultz Mcgreevy | Nurse Practitioner | 97 Administrative Dr, Martinsburg, WV 25404-6378 | 2018-11-19 |
| Find all providers in MARTINSBURG | ||||
| City | MARTINSBURG |
| Zip Code | 25404 |
Please comment or provide details below to improve the information on MISS MELISSA LYNN FANNON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.