Individual
MELINDA S EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 839-1526
Mailing address
109 E MAPLE ST, GILLESPIE, IL 62033-1473
(217) 839-1526
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209017294
IL
Other
Enumeration date
03/07/2018
Last updated
03/07/2018
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