| NPI | 1366008237 |
|---|---|
| Former Name | MELISSA CHILDRESS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA RN252890) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: GA RN252890) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: GA RN252890) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: GA RN252890) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-04-03 |