Individual
MELISSA ANN HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
301 J T STITES BLVD, SALLISAW, OK 74955-9302
(918) 775-9159
(918) 775-6469
Mailing address
PO BOX 445, VIAN, OK 74962-0445
(918) 774-6916
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R0030089
OK
Other
Enumeration date
08/19/2005
Last updated
08/23/2011
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