Individual
MRS. MELISSA N MINOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
805 E RIVER PL, JACKSON, MS 39202-3486
(601) 364-2600
Mailing address
905 ABUNDANCE XING, FLOWOOD, MS 39232-6618
(601) 807-4035
(601) 952-4288
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00279
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA00279
MS LICENSE
MS
Enumeration date
03/08/2016
Last updated
03/17/2022
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