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

Melissa Provost

Individual provider Registered Nurse · NPI 1417491028

Melissa Provost is a Registered Nurse in San Diego, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

545 Laurel St
San Diego, CA 92101-1634
Phone: (619) 233-4399
Show map & directions

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

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 95354662 (CA)

Record details

NPI number1417491028
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 15, 2016
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Other providers in San Diego