Individual
MELISSA LANDA GRAHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 HANGING OAK CIR, GULFPORT, MS 39507-4413
(770) 608-6111
Mailing address
6 HANGING OAK CIR, GULFPORT, MS 39507-4413
(770) 608-6111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
912598
MS
163WG0600X
Gerontology Registered Nurse
912598
MS
Other
Enumeration date
12/12/2025
Last updated
12/12/2025
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