Individual
MS. MELINDA B NIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7976 CHESTERFIELD DR S, SOUTHAVEN, MS 38671-6201
(662) 280-5547
(662) 280-5165
Mailing address
7976 CHESTERFIELD DR S, SOUTHAVEN, MS 38671-6201
(662) 280-5547
(662) 280-5165
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P139629
MS
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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