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Individual

MS. MELISSA JEAN MCCUTCHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
105 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7060
(864) 797-7065
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
26565
SC
363LA2200X
Adult Health Nurse Practitioner
24250
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24250
STATE LICENSE
TN
05
PENDING
SC
Enumeration date
10/27/2009
Last updated
05/03/2023
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