Melissa Lee Bounds, NP
Nurse Practitioner, Family in Granite City, IL. Individual provider (NPI-1).
NPI number1831630458
StatusActive
Last updated in NPPESSep 8, 2021
Details
- NPI
- 1831630458
- Entity type
- Individual (NPI-1)
- Name
- Melissa Lee Bounds
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 15, 2017
- Certification date
- Sep 8, 2021
- Last updated
- Sep 8, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 209-015573 | IL | Yes |
| 363L00000X | Nurse Practitioner | 2018009351 | MO |
Other names
- Melissa Lee Richter (Former Name)
Practice location
2100 Madison AveGranite City, IL 62040-4713
Phone 618-798-3066
Mailing address
2250 N Illinois AveCarbondale, IL 62901-5612
Phone 618-833-1691
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All 12 Family Nurse Practitioner providers in Granite City · All 486 providers in Granite City
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