Individual
MELISSA FOWLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1050 RIVER OAKS DR STE 100, FLOWOOD, MS 39232-9564
(601) 200-4635
(601) 200-4635
Mailing address
1050 RIVER OAKS DR STE 100, FLOWOOD, MS 39232-9564
(601) 200-4635
(601) 200-4742
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
874961
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008738867
—
MS
Enumeration date
03/23/2018
Last updated
12/20/2022
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