Individual
MS. MELISSA HARRELL MCKISSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1040 RIVER OAKS DR STE 304, FLOWOOD, MS 39232-9575
(601) 936-1170
(601) 933-5455
Mailing address
PO BOX 321359, FLOWOOD, MS 39232-1359
(601) 936-1395
(601) 933-6596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R863993
MS
Other
Enumeration date
12/07/2009
Last updated
03/01/2022
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