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MELISSA ENNIS, MSN, APRN, FNP-C
MSN, APRN, FNP-C
Family Nurse Practitioner
NPI: 1548989650IndividualAccepts Medicare
Specialties, Licenses & Credentials
Registered Nurse
Registered Nurse
Code: 163W00000X
95160974(CA)
Emergency Registered Nurse
Registered Nurse — Emergency
Code: 163WE0003X
95160974(CA)
Nurse Practitioner
Nurse Practitioner
Code: 363L00000X
95022314(CA)
Family Nurse PractitionerPrimary
Nurse Practitioner — Family
Code: 363LF0000X
95022314(CA)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2022
Contact & Hours
- Address
- 17612 17TH ST
TUSTIN, CA 92780 - Phone
- (216) 544-6857
Quick Facts
- NPI
- 1548989650
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 4
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