| Doctor Name: | MS. MELISSA MARIE MANUEL |
| NPI Number: | 1093078628 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | R836903 |
| Business Practice Address: | 1006 Treetops Blvd Suite 102 Flowood, MS - 392327645 |
| Business Phone Number: | 6019391808 |
| Business Fax Number: | 6019393828 |
| Mailing Address: | 1006 Treetops Blvd, Suite 102 FLOWOOD |
| State: | MS |
| Postal Code: | 392327645 |
| Phone Number: | 6019391808 |
| Fax Number: | 6019393828 |
| NPI Enumeration Date: | 06/19/2012 |
| NPI Last Update Date: | 06/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R836903 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |