Individual provider · Type 1 NPI

Melissa Waybrant-Ennis, APRN, DNP, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Live Oak, FL

NPI number 1780118885 Active

Practice location

5964 US Highway 90
Live Oak, FL 32060-8694

Call (302) 981-8484 Map

Fax (833) 672-3395

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X209015760 (IL)
Psychiatric/Mental Health Nurse Practitioner 363LP0808X209015760 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X11003223 (FL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1780118885

Melissa Waybrant-Ennis, APRN, DNP, PMHNP-BC's National Provider Identifier is 1780118885, issued on Apr 14, 2017. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Live Oak, FL. The record was last updated on May 13, 2024.