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Individual

MELISSA ANNE COUSINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2009 BROWN ST, ANDERSON, IN 46016-4216
(317) 574-1254
(317) 674-0060
Mailing address
6807 RUSTIC WOOD CT, PLEASANT GARDEN, NC 27313-9567
(317) 574-1254
(828) 808-2793

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5004311
NC
363LF0000X
Family Nurse Practitioner
5004311
NC
363LF0000X
Family Nurse Practitioner
Primary
71002237A
IN

Other

Enumeration date
10/27/2006
Last updated
07/02/2025
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