Individual provider · Type 1 NPI

Melissa Jo Mavis, ARNP

Acute Care Nurse Practitioner · Ashland, KY

NPI number 1275353336 Active

Practice location

617 23rd St Ste 400
Ashland, KY 41101-2880

Fax (606) 408-6499

Mailing address

2201 Lexington Ave
Ashland, KY 41101-2843

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X4027273 (KY)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1275353336

Melissa Jo Mavis, ARNP's National Provider Identifier is 1275353336, issued on Oct 14, 2024. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Ashland, KY. The record was last updated on Mar 31, 2026.