Individual provider · Type 1 NPI

Melissa Marie Black, FNP-C

Family Nurse Practitioner · Rexburg, ID

NPI number 1659077238 Active

Practice location

450 E Main St
Rexburg, ID 83440-2048

Call (208) 359-9811 Map

Mailing address

330 Circle Dr
Rigby, ID 83442-1375

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	59333 (ID)
Registered Nurse	163W00000X	59333 (ID)
Sleep Medicine (Family Medicine) Physician	207QS1201X	59333 (ID)

Family Nurse Practitioner: Definition to come...

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About NPI 1659077238

Melissa Marie Black, FNP-C's National Provider Identifier is 1659077238, issued on Feb 6, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Rexburg, ID. The record was last updated on Jul 28, 2026.