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Individual

MELINDA BENNETT DELANCEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4358 LINCOLN ROAD EXT STE 20A, HATTIESBURG, MS 39402-3275
(601) 589-9259
(601) 476-6404
Mailing address
4358 LINCOLN ROAD EXT STE 20A, HATTIESBURG, MS 39402-3275
(601) 589-9259
(601) 476-6404

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
825528
MS
363LF0000X
Family Nurse Practitioner
Primary
R825528
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00123607
MS
Enumeration date
06/09/2006
Last updated
10/31/2025
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