IndividualActive
Melba Richardson
NPI 1790393072 · Psychiatric/Mental Health Registered Nurse · Gautier, MS
Provider details
- NPI number
- 1790393072
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 598844 (MS)
Specialties & taxonomies
Nursing Service Providers
Practice location
330b Highway 90
Gautier, MS 39553-5744
Phone: (229) 497-0434
Approximate (ZIP-level) locationGet directions
Mailing address
3407 Shamrock Ct
Gautier, MS 39553-5337
Registry dates
- Enumerated
- 2020-07-22
- Last updated
- 2020-07-22
- Certified
- 2020-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.