MELISSA KELLY MILICEVIC

VALDOSTA, GA
NPI1366991374
Other NameMELISSA KELLY VAN HORN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN217925)
Additional Taxonomies363LA2100X Nurse Practitioner, Acute Care
(Licence: GA  RN217925)
Enumeration Date2016-10-03
Last Update Date2020-05-23
Business Address
Mrs. MELISSA KELLY MILICEVIC NP
304 JANET ST STE B
VALDOSTA, GA 31602-2643
Phone number: 229-375-0747
Mailing Address
Mrs. MELISSA KELLY MILICEVIC NP
5715 GARDENIA CIR
LAKE PARK, GA 31636-3168
Phone number: 229-886-9431