Individual
DR. MELISSA N FRASCOGNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2195
(601) 815-3607
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-2195
(601) 815-3607
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
00027421
AL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
20662
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009937983
—
AL
01
—
051535676
BCBS PROVIDER NUMBER
AL
05
—
157459
—
AL
Enumeration date
06/16/2006
Last updated
04/02/2014
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