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Individual

MS. MELISSA ANN TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
2020 ALEXANDER DR, DOTHAN, AL 36301-3004
(334) 673-4166
(334) 673-4170
Mailing address
104 BRECKENRIDGE LN, DOTHAN, AL 36303-9322
(334) 792-5911

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-084727
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1-084727
RN/CRNP
AL
01
2519
RX
AL
Enumeration date
09/27/2006
Last updated
07/08/2007
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