Provider Demographics
NPI:1851361786
Name:DIGGIN, MELISSA ALICE (NP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ALICE
Last Name:DIGGIN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 CONANT ST STE 200
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-1659
Mailing Address - Country:US
Mailing Address - Phone:978-922-2226
Mailing Address - Fax:
Practice Address - Street 1:152 CONANT ST STE 200
Practice Address - Street 2:
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-1659
Practice Address - Country:US
Practice Address - Phone:978-922-2226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-24
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA256324363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology