Individual
MELANIE RENEE NEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4802 E JOHNSON AVE, JONESBORO, AR 72401-8413
(870) 936-8000
(870) 934-3625
Mailing address
PO BOX 1960, JONESBORO, AR 72403-1960
(870) 936-8000
(870) 934-3625
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
S02256 CNS
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1949223758
—
AR
Enumeration date
08/01/2011
Last updated
03/10/2016
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