Individual
MRS. MELISSA CULPEPPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, AGNP-BC
Contact information
Practice address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Mailing address
2500 N STATE STREET, JACKSON, MS 39216-4500
(601) 984-5452
(601) 815-3322
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
901581
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02437260
—
MS
Enumeration date
08/02/2016
Last updated
11/28/2016
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