NPI 1124636782

Melissa Lynn Fortenberry

Practitioner Home Health Aide Mendenhall, MS

Practice location

Address: 507 Wallace St, Mendenhall, MS 39114-3807
Phone: (769) 229-1940

Registered specialties (4)

Home Health Aide Primary

Nursing Service Related Providers Taxonomy 374U00000X

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Chore Provider

Nursing Service Related Providers Taxonomy 372500000X

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Adult Companion

Nursing Service Related Providers Taxonomy 372600000X

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Respite Care

Respite Care Facility Taxonomy 385H00000X

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Registry record

NPI: 1124636782
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Jul 2020
Record last updated: 19 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.