Individual provider · Type 1 NPI
Melissa Dale John, APRN, CNP
Gerontology Nurse Practitioner · Fargo, ND
NPI number
1609177674
Active
Practice location
1702 University Dr S
Fargo, ND 58103-4940
Mailing address
400 E 3rd St
Duluth, MN 55805-1951
Other practice locations
- 1701 38th St S Ste 101, Fargo, ND 58103-4499 · (701) 356-1500
- 1111 Highway 10 E, Detroit Lakes, MN 56501-4215 · (701) 356-1500
- 1027 Washington Ave, Detroit Lakes, MN 56501-3409 · (218) 844-2347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 9842 (MN) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | R34298 (ND) |
Gerontology Nurse Practitioner: Definition to come...
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Other gerontology nurse practitioner providers in Fargo
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About NPI 1609177674
Melissa Dale John, APRN, CNP's National Provider Identifier is 1609177674, issued on Nov 8, 2010. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Fargo, ND. The record was last updated on Aug 5, 2025.