Provider Demographics
NPI:1831062199
Name:DARDEN, MELISSA S (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:DARDEN
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:J
Other - Last Name:DARDEN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PMHNP-BC
Mailing Address - Street 1:2611 HIGHWAY 26 W
Mailing Address - Street 2:
Mailing Address - City:POPLARVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:39470-8816
Mailing Address - Country:US
Mailing Address - Phone:601-347-1139
Mailing Address - Fax:
Practice Address - Street 1:345 BUCK KIRKLAND RD
Practice Address - Street 2:
Practice Address - City:POPLARVILLE
Practice Address - State:MS
Practice Address - Zip Code:39470-3215
Practice Address - Country:US
Practice Address - Phone:601-746-4648
Practice Address - Fax:855-353-7688
Is Sole Proprietor?:No
Enumeration Date:2025-09-24
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907737363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health