Individual
ABBY MELANCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2029 SOUTHWOOD RD, JACKSON, MS 39211-6032
(601) 954-8118
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
905441
MS
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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