MELISSA STANFORD CNP - NPI 1447605290 - Nurse Practitioner in Hattiesburg, MS

Q: What is Melissa Stanford's NPI number?

The NPI number for Melissa Stanford is 1447605290. It was assigned to this individual provider in the NPPES registry on April 29, 2016.

Q: What is Melissa Stanford's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Melissa Stanford was last updated on February 20, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Melissa Stanford Cnp NPPES

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

MELISSA STANFORD CNP (NPI 1447605290) is an individual nurse practitioner in Hattiesburg, Mississippi, licensed in Mississippi (902259) and active in the NPI registry since April 2016.

NPPES Registry Identity

NPI1447605290

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMELISSA STANFORDCredential: CNP

Location Address415 S 28TH AVEHattiesburg, MS 39401-7246

Mailing Address415 S 28th AveHattiesburg, MS 39401-7246 · (601) 268-5650 · Fax (601) 579-5240

Phone(601) 268-5650

Fax(601) 579-5212

Sole ProprietorNo

Enumeration DateApril 29, 2016

Last NPPES UpdateFebruary 20, 20182 updates tracked since enumeration

✔ NPI 1447605290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in MS · 902259

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

415 S 28TH AVE, Hattiesburg, MS 39401

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Other Identifiers 1

Medicaid00339583MS

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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