Individual
MS. AMY MELISSA SELMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
904 NORTH PEARL STREET, IUKA, MS 38852
(662) 656-0183
Mailing address
904 NORTH PEARL STREET, IUKA, MS 38852
(662) 656-0183
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
878054
MS
363L00000X
Nurse Practitioner
Primary
903884
MS
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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