Individual
MELISSA J DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
327 N JACKSON ST, BROOKHAVEN, MS 39601
(601) 833-3800
Mailing address
625 NEW HOPE TRL NW, BROOKHAVEN, MS 39601-8622
(601) 754-9458
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
894342
MS
363LP2300X
Primary Care Nurse Practitioner
Primary
902135
MS
Other
Enumeration date
06/26/2017
Last updated
01/25/2023
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