Provider Demographics
NPI:1407727852
Name:NEELEY, MELLANEE JEAN (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MELLANEE
Middle Name:JEAN
Last Name:NEELEY
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4566 N 600 E
Mailing Address - Street 2:
Mailing Address - City:VAN BUREN
Mailing Address - State:IN
Mailing Address - Zip Code:46991-9720
Mailing Address - Country:US
Mailing Address - Phone:765-283-4181
Mailing Address - Fax:765-283-4181
Practice Address - Street 1:1026 S MAIN ST
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:IN
Practice Address - Zip Code:46714-3614
Practice Address - Country:US
Practice Address - Phone:765-288-1928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71017124A363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health