Individual
MRS. MELISSA CHRISTINE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BC PMHNP
Contact information
Practice address
215 BENJAMIN AVE, WARNER ROBINS, GA 31098-1062
(618) 795-6333
Mailing address
655 SOUTH 7TH STREET BLDG 700/700-A, 78 MDG/SGOW, ROBINS AFB, GA 31098
(478) 327-8398
(478) 327-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
530776
TX
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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