Provider Demographics
NPI:1528251113
Name:WHITESELL, MELISSA CAROL (APRN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:CAROL
Last Name:WHITESELL
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:630 EATON AVE # 2W
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-2767
Mailing Address - Country:US
Mailing Address - Phone:513-867-2433
Mailing Address - Fax:513-867-2499
Practice Address - Street 1:630 EATON AVE # 2W
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2767
Practice Address - Country:US
Practice Address - Phone:513-867-2433
Practice Address - Fax:513-867-2499
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-27
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH285152163WP0200X
VA0024191033363LP0808X
KY4025979363LP0808X
OHCOA.09546-NP363LP0808X
OHCOA09546163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0200XNursing Service ProvidersRegistered NursePediatrics