Individual
MELISSA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1001 E PRIMROSE ST, SPRINGFIELD, MO 65807-5155
(417) 875-3000
Mailing address
PO BOX 505673, SAINT LOUIS, MO 63150-5673
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2018023218
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420056631
—
MO
Enumeration date
07/03/2018
Last updated
06/06/2024
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