IndividualActive
Melanie Johnston, COTA/L
NPI 1356629968 · Skilled Nursing Facility · Madison, MS
Melanie Johnston, COTA/L is a Skilled Nursing Facility provider in Madison, MS (NPI 1356629968).
Provider details
- NPI number
- 1356629968
- Entity type
- Individual
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- TA1800 (MS)
Practice location
248 Geneva Blvd
Madison, MS 39110-7739
Phone: (601) 260-7793
Street-level locationGet directions
Mailing address
248 Geneva Blvd
Madison, MS 39110-7739
Registry dates
- Enumerated
- 2011-07-31
- Last updated
- 2011-07-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.