| Ms Melissa Harrell Mckissack, CFNP | |
|
1040 River Oaks Dr Ste 304, Flowood, MS 39232-9575 | |
| (601) 936-1170 | |
| (601) 933-5455 |
| Full Name | Ms Melissa Harrell Mckissack |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 1040 River Oaks Dr Ste 304, Flowood, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538497334 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | R863993 (Mississippi) | Primary |
| Entity Name | Flowood River Oaks Hma Medical Group, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801128798 PECOS PAC ID: 5890825004 Enrollment ID: O20100615000668 |
| Entity Name | Southern Medical Consultants Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215396577 PECOS PAC ID: 9830496314 Enrollment ID: O20160329000043 |
| Entity Name | Progressive Medical Management Of Batesville Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700349222 PECOS PAC ID: 0345583225 Enrollment ID: O20191114002265 |
| Entity Name | Rapha Wellness And Primary Care, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457051591 PECOS PAC ID: 9830539261 Enrollment ID: O20240501003470 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Melissa Harrell Mckissack, CFNP Po Box 321359, Flowood, MS 39232-1359 Ph: (601) 936-1395 | Ms Melissa Harrell Mckissack, CFNP 1040 River Oaks Dr Ste 304, Flowood, MS 39232-9575 Ph: (601) 936-1170 |
Jordan Claire Smith, MSN, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Flowood Dr Ste 300, Flowood, MS 39232 Phone: 601-420-0034 | |
Lelouise Tindall Davis, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1 Layfair Dr, Ste 120, Flowood, MS 39232 Phone: 601-932-0238 Fax: 601-932-4391 | |
Dr. Tatum Lee Severino I, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 215 Katherine Dr Ste A, Flowood, MS 39232 Phone: 601-665-4162 Fax: 888-398-1151 | |
Jessica N Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Stone Creek Blvd, Flowood, MS 39232 Phone: 769-243-6141 | |
Jane Denton Desper, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-8200 Fax: 601-987-8211 | |
Brittany Michelle Fitzgerald, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 104 Burney Dr, Flowood, MS 39232 Phone: 601-987-2000 | |
Courtney Dannielle Murtagh, WHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2925 Layfair Dr, Flowood, MS 39232 Phone: 601-984-6740 |