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NPI Code Detail

MEDICARE: MS. MELISSA RAE LAMB APRN,BC

MEDICARE: MS. MELISSA RAE LAMB APRN,BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner11579TN

General Provider Information

NPI Number : 1013998038
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MELISSA RAE LAMB APRN,BC
Provider Business Mailing Address
First Line : 121 NEWPORT TOWNE CTR
Second Line :
City : NEWPORT
State : TN
Zip : 37821-7391
Country : US
Telephone Number : 423-532-8621
Fax Number : 423-532-8622
Provider Business Practice Location Address
First Line : 121 NEWPORT TOWNE CTR
Second Line :
City : NEWPORT
State : TN
Zip : 37821-7391
Country : US
Telephone Number : 423-532-8621
Fax Number : 423-532-8622
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2005
Last Update Date : 12/11/2025

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