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

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X9842 (MN)
Gerontology Nurse Practitioner Primary 363LG0600XR34298 (ND)

Gerontology Nurse Practitioner: Definition to come...

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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.