| NPI | 1548201403 |
|---|---|
| Former Name | MELINDA JORDAN BENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MS R825528) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 825528) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2023-02-07 |