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Individual
MELISSA DAWN MULL
Active
Individual
MELISSA DAWN MULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4269
SC
363LF0000X
Family Nurse Practitioner
4269
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
APPROVED
—
SC
Enumeration date
07/13/2010
Last updated
09/19/2024
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