Individual provider · Type 1 NPI
Mary Melvin Smith, NP
Adult Health Nurse Practitioner · Canton, MS
NPI number
1487162319
Active
Practice location
107 Cannon Run
Canton, MS 39046-8033
Mailing address
2500 N State St, Jmm Suite 2525
Jackson, MS 39216-4500
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 901700 (MS) |
Adult Health Nurse Practitioner: Definition to come...
About NPI 1487162319
Mary Melvin Smith, NP's National Provider Identifier is 1487162319, issued on Jan 12, 2018. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Canton, MS. The record was last updated on Apr 10, 2018.