Individual
ASHLEY MELANCON PREWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
201 N COLLEGE ST STE 105, BRANDON, MS 39042-4439
(601) 825-6010
(601) 825-7146
Mailing address
2 WESTWOOD PARK, CLINTON, MS 39056-3592
(601) 668-1397
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
906947
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
904890
MS
Other
Enumeration date
04/13/2020
Last updated
09/28/2021
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