Individual provider · Type 1 NPI

Melissa Carol Smith, FNP

Family Nurse Practitioner · Hattiesburg, MS

NPI number 1609156116 Active

Practice location

102 Medical Park
Hattiesburg, MS 39401

Fax (601) 545-1740

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X772529 (MS)
Nurse Practitioner 363L00000XR772529 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1609156116

Melissa Carol Smith, FNP's National Provider Identifier is 1609156116, issued on Aug 29, 2011. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Hattiesburg, MS. The record was last updated on Jul 23, 2020.