Provider Demographics
NPI:1538341805
Name:GLEASON, MELISSA ELAINE (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:ELAINE
Last Name:GLEASON
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6250 PARK SOUTH DR
Mailing Address - Street 2:PEDIATRICS 459
Mailing Address - City:BESSEMER
Mailing Address - State:AL
Mailing Address - Zip Code:35022-5655
Mailing Address - Country:US
Mailing Address - Phone:205-425-5440
Mailing Address - Fax:205-425-5513
Practice Address - Street 1:6250 PARK SOUTH DR
Practice Address - Street 2:PEDIATRICS 459
Practice Address - City:BESSEMER
Practice Address - State:AL
Practice Address - Zip Code:35022-5655
Practice Address - Country:US
Practice Address - Phone:205-425-5440
Practice Address - Fax:205-425-5513
Is Sole Proprietor?:No
Enumeration Date:2007-11-28
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL1-075189363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily