| Dr Melissa Waybrant-ennis, APRN, DNP, PMHNP-BC | |
|
5964 Us Highway 90, Live Oak, FL 32060-8694 | |
| (302) 981-8484 | |
| (833) 672-3395 |
| Full Name | Dr Melissa Waybrant-ennis |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 5964 Us Highway 90, Live Oak, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780118885 | NPI | - | NPPES |
| 104165900 | Medicaid | FL | |
| 11003223 | Other | FL | APRN |
| 209015760 | Other | IL | ADVANCED PRACTICE NURSE |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240903004312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Melissa Waybrant-ennis, APRN, DNP, PMHNP-BC 5964 Us Highway 90, Live Oak, FL 32060-8694 Ph: (302) 981-8484 | Dr Melissa Waybrant-ennis, APRN, DNP, PMHNP-BC 5964 Us Highway 90, Live Oak, FL 32060-8694 Ph: (302) 981-8484 |
Cheryl Renae Abersold, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 112 Irvin Ave Sw, Live Oak, FL 32064 Phone: 386-330-6380 | |
Mrs. Melania J Willis, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 701 Ohio Ave S, Live Oak, FL 32064 Phone: 386-330-5248 Fax: 386-208-1380 | |
Valeria Nicole Randle, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 807 Walker Ave Nw, Live Oak, FL 32064 Phone: 386-364-8775 | |
Mrs. Amber Ingram Chauncey, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1002 11th St Sw, Live Oak, FL 32064 Phone: 386-364-8050 | |
Susan Michelle Blizzard, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 211 Ranchera St Nw, Live Oak, FL 32064 Phone: 386-364-1751 Fax: 386-364-1761 | |
Mrs. Melissa Fay Peters, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 Ohio Ave S, Live Oak, FL 32064 Phone: 386-364-0776 | |
Kristina Melissa North, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 11th St Sw, Live Oak, FL 32064 Phone: 386-362-0800 |