Individual
MS. MELISSA K RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 265-4801
(904) 265-6458
Mailing address
4800 BELFORT RD, JACKSONVILLE, FL 32256-6004
(904) 483-5850
(904) 483-5860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP2736532
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
305599000
—
FL
Enumeration date
03/24/2006
Last updated
05/25/2011
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