Young, Melissa

Young, Melissa is an individual health care provider with primary practice located at 807 Monroe St , Vicksburg MS 39183-2529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Young, Melissa can be contacted via phone (601) 636-4356.

Contact Information

Primary practice address
807 Monroe St Vicksburg MS 39183-2529
Phone: (601) 636-4356
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R70416 Mississippi

Profile Details

NPI number 1184768780
LBN Legal business name Young, Melissa
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 16th, 2007
Last updated Jul 9th, 2007 - about 18 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 1184768780 NPPES
Mississippi MEDICAID 00124033

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