Provider Demographics
NPI:1215174735
Name:SPURRIER, MELISSA B (DNP)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:B
Last Name:SPURRIER
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:BEAUCHAMP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5 PROFESSIONAL PLZ
Mailing Address - Street 2:
Mailing Address - City:STARKVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39759-1900
Mailing Address - Country:US
Mailing Address - Phone:662-323-0999
Mailing Address - Fax:662-338-1191
Practice Address - Street 1:5 PROFESSIONAL PLZ
Practice Address - Street 2:
Practice Address - City:STARKVILLE
Practice Address - State:MS
Practice Address - Zip Code:39759-1900
Practice Address - Country:US
Practice Address - Phone:662-323-0999
Practice Address - Fax:662-338-1191
Is Sole Proprietor?:No
Enumeration Date:2009-01-21
Last Update Date:2021-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS904430363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCNP1441Medicaid