| Mrs Melissa Renee Bouassaba, BC-ACNS | |
|
890 W Faris Rd Ste 580, Greenville, SC 29605-4281 | |
| (864) 455-7874 | |
| (864) 455-8933 |
| Full Name | Mrs Melissa Renee Bouassaba |
|---|---|
| Gender | Female |
| Speciality | Clinical Nurse Specialist - Adult Health |
| Location | 890 W Faris Rd Ste 580, Greenville, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922362052 | NPI | - | NPPES |
| NP6225 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 209009613 (Illinois) | Primary |
| Entity Name | Osf Multi-specialty Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922445527 PECOS PAC ID: 3678889789 Enrollment ID: O20150904000279 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Melissa Renee Bouassaba, BC-ACNS 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Mrs Melissa Renee Bouassaba, BC-ACNS 890 W Faris Rd Ste 580, Greenville, SC 29605-4281 Ph: (864) 455-7874 |
Bonnie Lee Walker, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 120 Lake Circle Dr, Greenville, SC 29609 Phone: 570-581-0675 | |
Ms. Jennifer Hawthorne, Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1 Chick Springs Rd Ste 218c, Greenville, SC 29609 Phone: 864-438-4579 | |
Ms. Miriam C Ellenburg-ferro, ACNP, APRN Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-8933 | |
Ms. Chelsea Renee Colombo, ACNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 580, Greenville, SC 29605 Phone: 864-455-7874 Fax: 864-455-8933 | |
Christy Renee Smith, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 317 Saint Francis Dr, Ste 340, Greenville, SC 29601 Phone: 864-380-8620 | |
Jean P. Brown, APN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 950 W Faris Rd, Greenville, SC 29605 Phone: 864-255-7842 Fax: 864-271-4471 |