Individual
MELANIE SUZANNE HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
109 HIGHWAY 15 S, PONTOTOC, MS 38863-2628
(662) 509-9934
(662) 509-9935
Mailing address
PO BOX 566, PONTOTOC, MS 38863-0566
(662) 509-9934
(662) 509-9935
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R868745
MS
Other
Enumeration date
12/11/2019
Last updated
12/11/2019
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