MEDICARE: MELANIE E TUBB FNP-C

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
1	363LF0000X	Family Nurse Practitioner	RN222827	GA

General Provider Information

NPI Number	:	1427691047
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE E TUBB FNP-C

Provider Business Mailing Address
First Line	:	3641 SCHOONER RDG
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30005-4290
Country	:	US
Telephone Number	:	678-640-5751
Fax Number	:

Provider Business Practice Location Address
First Line	:	5610 BETHELVIEW RD STE 500A
Second Line	:
City	:	CUMMING
State	:	GA
Zip	:	30040-7530
Country	:	US
Telephone Number	:	678-821-5376
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2019
Last Update Date	:	04/07/2026

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Directions to “ MELANIE E TUBB FNP-C” Practice Location

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