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Individual

MRS. MELANIE ANN MCCRARY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
3292 COUNTY ROAD 220, MIDDLEBURG, FL 32068-4357
(904) 291-5561
(904) 291-5572
Mailing address
1726 KINGSLEY AVE, SUITE 2, ORANGE PARK, FL 32073-4463
(904) 278-5644
(904) 278-5649

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN1232605
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
9289901
INSURANCE
FL
Enumeration date
12/14/2011
Last updated
01/23/2012
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