| NPI | 1528414612 |
|---|---|
| Former Name | MELISSA ASHLEY BUCKNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5008560) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 238638) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2019-03-21 |