IndividualActive
Abby Melancon
NPI 1902534035 · Acute Care Nurse Practitioner · Jackson, MS
Provider details
- NPI number
- 1902534035
- Entity type
- Individual
- Primary specialty
- Acute Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 905441 (MS)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2500 N State St
Jackson, MS 39216-4500
Phone: (601) 984-1000
Approximate (ZIP-level) locationGet directions
Mailing address
2029 Southwood Rd
Jackson, MS 39211-6032
Registry dates
- Enumerated
- 2022-08-08
- Last updated
- 2022-08-08
- Certified
- 2022-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.