Individual
MRS. MELISSA ANN WISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
54 SGT PRENTISS DR, NATCHEZ, MS 39120-4726
(601) 490-7070
(601) 442-3199
Mailing address
PO BOX 1089, HAMMOND, LA 70404-1089
(985) 892-7070
(985) 892-7017
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
903665
MS
Other
Enumeration date
11/20/2019
Last updated
01/12/2023
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