Melissa Black, FNP-C

NPI 1659077238 · on the registry since 2023

Practice

Address: 450 E Main St
Rexburg, ID 83440
Phone: (208) 359-9811
Organisation at this address: Madison Memorial Hospital
Madison Memorial Hospital
Madison Physician Services
Mountain Valley Imaging Llc
Madison Co Memorial Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 363LF0000X
363LF0000X
Also registered as: 163W00000X
207QS1201X
Licence states on file: ID
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2026-07-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho