Individual
MICHAEL ONEAL MELCHER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 418-0615
Mailing address
PO BOX 615, TUPELO, MS 38802-0615
(662) 418-0615
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
Primary
900575
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
900575
MISSISSIPPI BOARD OF NURSING
MS
Enumeration date
04/02/2020
Last updated
04/02/2020
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