Individual
MELINDA DAWN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS, RN, BSN, FNP-C
Contact information
Practice address
3800 S NATIONAL AVE STE 600, SPRINGFIELD, MO 65807-5249
(417) 875-3276
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 875-3000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2022006478
MO
Other
Enumeration date
12/21/2021
Last updated
03/16/2022
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