MEDICARE: MELONY APRIL ALMANY FNP

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	163W00000X	Registered Nurse	207840	TN
2	363LF0000X	Family Nurse Practitioner	APN0000025890	TN

General Provider Information

NPI Number	:	1255999330
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELONY APRIL ALMANY FNP

Provider Business Mailing Address
First Line	:	603 HALES CHAPEL RD
Second Line	:
City	:	JOHNSON CITY
State	:	TN
Zip	:	37615-4254
Country	:	US
Telephone Number	:	423-348-6911
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 W RIDGE RD STE D
Second Line	:
City	:	WYTHEVILLE
State	:	VA
Zip	:	24382-1067
Country	:	US
Telephone Number	:	276-228-5506
Fax Number	:

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

Provider Enumeration Date	:	06/03/2019
Last Update Date	:	06/05/2024

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