| Doctor Name: | MELISSA IRENE CHAMBERLAIN |
| NPI Number: | 1609907914 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | ARNP |
| License Number: | ARNP2980662 |
| Business Practice Address: | 17808 Ne Charlie Johns St Blountstown, FL - 324241052 |
| Business Phone Number: | 8506744524 |
| Business Fax Number: | 8506472300 |
| Mailing Address: | 17808 Ne Charlie Johns St, BLOUNTSTOWN |
| State: | FL |
| Postal Code: | 324241052 |
| Phone Number: | 8506744524 |
| Fax Number: | 8506472300 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 04/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | ARNP2980662 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |