Individual
MELISSA JOY BOURNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1908 GLENWOOD PARK RD, PRINCETON, WV 24739-7969
(304) 325-6202
(304) 323-2307
Mailing address
1908 GLENWOOD PARK RD, PRINCETON, WV 24739-7969
(304) 325-6202
(304) 323-2307
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
45768
WV
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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