Provider Demographics
NPI:1194117952
Name:MURPHY, MELISSA BELL (NNP-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:BELL
Last Name:MURPHY
Suffix:
Gender:F
Credentials:NNP-BC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:BELL
Other - Last Name:GOODBREAD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 MEDICAL CENTER BLVD
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-7693
Mailing Address - Country:US
Mailing Address - Phone:770-921-4492
Mailing Address - Fax:770-696-3358
Practice Address - Street 1:1000 MEDICAL CENTER BLVD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-7694
Practice Address - Country:US
Practice Address - Phone:678-312-3970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-03
Last Update Date:2015-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN188105363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal