MRS. SHAWNTAE RENEA MELVIN FNP
NPI 1124528997
Nurse Practitioner - Family in Brandon, MS

Q: What is Shawntae Melvin's NPI number?

The NPI number for Shawntae Melvin is 1124528997. It was assigned to this individual provider in the NPPES registry on February 18, 2018.

Q: What is Shawntae Melvin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shawntae Melvin was last updated on February 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 18, 2018

513 ETERNAL CT, BRANDON, MS 39042(601) 706-4671 Get Directions Write a Review

NPPES record last updated: February 18, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Mrs. Shawntae Renea Melvin Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHAWNTAE RENEA MELVIN FNP (NPI 1124528997) is an individual family provider in Brandon, Mississippi, licensed in Mississippi (902508) and active in the NPI registry since February 2018.

NPPES Registry Identity

NPI1124528997

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SHAWNTAE RENEA MELVINCredential: FNP

Location Address513 ETERNAL CTBrandon, MS 39042-4430

Mailing Address513 Eternal CtBrandon, MS 39042-4430 · (601) 706-4671

Phone(601) 706-4671

Sole ProprietorNo

Enumeration DateFebruary 18, 2018

✔ NPI 1124528997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MS · 902508

513 ETERNAL CT, Brandon, MS 39042

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawntae Melvin's NPI number?

The NPI number for Shawntae Melvin is 1124528997. It was assigned to this individual provider in the NPPES registry on February 18, 2018.

Where is Shawntae Melvin located?

Shawntae Melvin practices at 513 Eternal Ct, Brandon, MS 39042. The listed phone number is (601) 706-4671.

What is Shawntae Melvin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shawntae Melvin was last updated on February 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.