Individual
MRS. MELISSA GAYLE BIBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
2700 10TH AVE S, POB 2, SUITE 401, BIRMINGHAM, AL 35205-1200
(205) 933-5599
(205) 930-2611
Mailing address
2700 10TH AVE S, POB 2, SUITE 401, BIRMINGHAM, AL 35205-1200
(205) 933-5599
(205) 930-2611
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-035605
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-36006
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/21/2006
Last updated
07/08/2007
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