Provider Demographics
NPI:1316227762
Name:PAYNE, MELISSA VANDAGRIFF (FNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:VANDAGRIFF
Last Name:PAYNE
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:VANDAGRIFF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9460 AMBERDALE DR STE G2
Mailing Address - Street 2:
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23236-1259
Mailing Address - Country:US
Mailing Address - Phone:804-728-2278
Mailing Address - Fax:804-999-0450
Practice Address - Street 1:9460 AMBERDALE DR STE G2
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-1259
Practice Address - Country:US
Practice Address - Phone:804-728-2278
Practice Address - Fax:804-999-0450
Is Sole Proprietor?:No
Enumeration Date:2011-08-17
Last Update Date:2025-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024171641363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily