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NPI Code Detail

MEDICARE: MELISSA J KING RN

MEDICARE: MELISSA J KING RN
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
1163W00000XRegistered NurseRN0000154640TN

General Provider Information

NPI Number : 1508062670
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA J KING RN
Provider Business Mailing Address
First Line : 5736 MANCHESTER HWY
Second Line :
City : MORRISON
State : TN
Zip : 37357-7503
Country : US
Telephone Number : 931-815-3871
Fax Number : 931-815-3876
Provider Business Practice Location Address
First Line : 5736 MANCHESTER HWY
Second Line :
City : MORRISON
State : TN
Zip : 37357-7503
Country : US
Telephone Number : 931-815-3871
Fax Number : 931-815-3876
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2007
Last Update Date : 07/08/2007

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