Most Relevant Information
Provider Data
| NPI Number: | 1003411604 |
| Provider Name: | MELISSA ANNE COGDELL CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 214344 |
Most Important Dates
| Enumeration Date: | 12/01/2020 |
| Last Updated: | 01/04/2021 |
Provider Practice Location
505 E MATTHEWS AVE STE 303
JONESBORO
AR
724013101
Practice Location Phone/Fax
| Phone: | 8709324211 |
| Fax: |
Provider Mailing Location
2501 BRIGHTON LN
JONESBORO
AR
724047810
Provider Mailing Phone/Fax
| Phone: | 8652278186 |
| Fax: |