IndividualActive
Melissa Fortenberry
NPI 1124636782 · Home Health Aide · Mendenhall, MS
Provider details
- NPI number
- 1124636782
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
- Chore Provider372500000X
Nursing Service Related Providers
- Adult Companion372600000X
Nursing Service Related Providers
- Respite Care385H00000X
Respite Care Facility
Practice location
507 Wallace St
Mendenhall, MS 39114-3807
Phone: (769) 229-1940
Approximate (ZIP-level) locationGet directions
Mailing address
507 Wallace St
Mendenhall, MS 39114-3807
Registry dates
- Enumerated
- 2020-07-20
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.