Wall, Melanie Jordan

Wall, Melanie Jordan is an individual health care provider with primary practice located at 402B Legacy Park Dr , Ridgeland MS 39157-4315. She recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as her primary health care specialty. Wall, Melanie Jordan can be contacted via phone (769) 233-7154.

Contact Information

Primary practice address
402B Legacy Park Dr Ridgeland MS 39157-4315
Phone: (769) 233-7154
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X 23-273581 Mississippi

Profile Details

NPI number 1821859554
LBN Legal business name Wall, Melanie Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2024
Last updated Jan 19th, 2024 - about last year

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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