Individual
MELINDA J MEACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
220 HIGHWAY 12 W, KOSCIUSKO, MS 39090-3208
(662) 290-3150
(662) 290-3160
Mailing address
PO BOX 11407, DEPT 2639, BIRMINGHAM, AL 35246-0100
(601) 944-9780
(601) 944-9780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R760452
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R760452
LICENSE
MS
Enumeration date
09/29/2008
Last updated
02/23/2016
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