Individual
MELISSA B PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1200 N STATE ST STE 270, JACKSON, MS 39202-2027
(601) 714-6470
(601) 714-6471
Mailing address
965 RIDGE LAKE BLVD STE 315, MEMPHIS, TN 38120-9401
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
902839
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01470542
—
MS
Enumeration date
10/29/2018
Last updated
10/05/2022
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