Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Melissa Jo Mavis, ARNP

Individual provider Acute Care Nurse Practitioner · NPI 1275353336

Melissa Jo Mavis, ARNP is a Nurse Practitioner in Ashland, Kentucky. Qualified in 2021, 5 years ago. Licensed in Kentucky.

Years since qualifying
5
Licensed in
KY
In the registry since
2024
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

617 23rd St Ste 400
Ashland, KY 41101-2880
Phone: (606) 408-5864
Fax: (606) 408-6499
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 4027273 (KY)

Record details

NPI number1275353336
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedOctober 14, 2024
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address2201 Lexington Ave, Ashland, KY 41101-2843

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Ashland