Individual
MELISSA HARKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2809 DENNY AVE, PASCAGOULA, MS 39581-5301
(228) 809-5000
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R859460
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
646000515
BLUE CROSS OF MS
—
05
—
MH03832846
—
MS
01
—
P00279719
MEDICARE RAILROAD
—
Enumeration date
05/17/2007
Last updated
07/08/2007
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