MEDICARE: ANGELA M MELSON APRN

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN17155	TN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN17155	TN

General Provider Information

NPI Number	:	1982951927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA M MELSON APRN

Provider Business Mailing Address
First Line	:	80 ENOCH BLVD STE C
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-2230
Country	:	US
Telephone Number	:	731-926-9616
Fax Number	:	731-926-9617

Provider Business Practice Location Address
First Line	:	80 ENOCH BLVD STE C
Second Line	:
City	:	SAVANNAH
State	:	TN
Zip	:	38372-2230
Country	:	US
Telephone Number	:	731-926-9616
Fax Number	:	731-926-9617

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

Provider Enumeration Date	:	08/09/2012
Last Update Date	:	05/12/2026

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