Provider Demographics
NPI:1437969789
Name:WHITEHEAD, MELISSA HALEY (PMHNP-BC)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:HALEY
Last Name:WHITEHEAD
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:HALEY
Other - Last Name:TOWE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:P.O BOX 144
Mailing Address - Street 2:
Mailing Address - City:CHESWOLD
Mailing Address - State:DE
Mailing Address - Zip Code:19936
Mailing Address - Country:US
Mailing Address - Phone:302-650-4776
Mailing Address - Fax:
Practice Address - Street 1:5201 W WOODMILL DR STE 31
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-4068
Practice Address - Country:US
Practice Address - Phone:302-384-7843
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-09
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL8-0010513363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner