Provider Demographics
NPI:1336471119
Name:ENGEL, MELINDA J (RNFA)
Entity Type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:J
Last Name:ENGEL
Suffix:
Gender:F
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:971 LAKELAND DR
Mailing Address - Street 2:STE 750 MISSISSIPPI ONCOLOGY ASSOCIATES
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216
Mailing Address - Country:US
Mailing Address - Phone:601-987-3033
Mailing Address - Fax:601-987-8768
Practice Address - Street 1:971 LAKELAND DR
Practice Address - Street 2:STE 750 MISSISSIPPI ONCOLOGY ASSOCIATES
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216
Practice Address - Country:US
Practice Address - Phone:601-947-9995
Practice Address - Fax:601-987-9830
Is Sole Proprietor?:No
Enumeration Date:2010-02-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR857914163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant