Physician Compare National (NPI:1750570677)

HEALTHCARE PROVIDER: MELINDA LOUISE QUINN CFNP

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1750570677
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5193899359
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080806000118
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	QUINN
	Individual professional last name
Provider First Name	MELINDA
	Individual professional first name
Provider Middle Name	L
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2007
	Individual professional's medical school graduation year
Primary Specialty	NURSE PRACTITIONER
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	10150 COUNTY RD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 200
	Group Practice or individual's line 2 address
City	FALKNER
	Group Practice or individual's city
State	MS
	Group Practice or individual's state
Zip Code	386299707
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	250009
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MAGNOLIA REGIONAL HEALTH CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	250004
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	NORTH MISSISSIPPI MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y