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Organization
MDB PSYCHIATRIC SERVICES, LLC
Active
Organization
MDB PSYCHIATRIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BISHOP APRN, PMHNP-BC (APRN)
(502) 655-9744
Entity
Organization
Contact information
Practice address
714 LYNDON LN STE 6, LOUISVILLE, KY 40222-4643
(502) 655-9744
(502) 653-7428
Mailing address
4010 DUPONT CIR STE 228, LOUISVILLE, KY 40207-4825
(502) 655-9744
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3008816
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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