Hamm, Melanie Raye

Hamm, Melanie Raye is an individual health care provider with primary practice located at 102 Medical Park , Hattiesburg MS 39401. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Hamm, Melanie Raye can be contacted via phone (601) 261-5159.

Contact Information

Primary practice address
102 Medical Park Hattiesburg MS 39401
Phone: (601) 261-5159
Fax: (601) 545-1740
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R871244 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 871244 Mississippi

Profile Details

NPI number 1699913202
LBN Legal business name Hamm, Melanie Raye
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2009
Last updated Jul 23rd, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1699913202 NPPES
Mississippi MEDICAID 03730749

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