Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Melissa Ann Ezelle

Individual provider Family Nurse Practitioner · NPI 1851924013

Mrs. Melissa Ann Ezelle is a Nurse Practitioner in Hattiesburg, Mississippi. Qualified in 2021, 5 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
5
Licensed in
MS
In the registry since
2020
Specialties on file
2

Practice location Address checks out

6414 Hwy 98 W Ste 120
Hattiesburg, MS 39402-3940
Phone: (601) 296-2833
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904880 (MS)
Registered Nurse Taxonomy 163W00000X · Licence R871458 (MS)

Record details

NPI number1851924013
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 17, 2020
Last updated in NPPESOctober 8, 2021
Certification dateSeptember 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Hattiesburg