MEDICARE: MELISSA CHITTUM 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	363LX0001X	Obstetrics & Gynecology Nurse Practitioner	19661	TN

General Provider Information

NPI Number	:	1548652548
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA CHITTUM FNP

Provider Business Mailing Address
First Line	:	1930 ALCOA HWY STE 435
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1520
Country	:	US
Telephone Number	:	865-263-2400
Fax Number	:	865-263-2401

Provider Business Practice Location Address
First Line	:	1930 ALCOA HWY STE 435
Second Line	:
City	:	KNOXVILLE
State	:	TN
Zip	:	37920-1520
Country	:	US
Telephone Number	:	865-263-2400
Fax Number	:	865-263-2401

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

Provider Enumeration Date	:	02/27/2015
Last Update Date	:	05/14/2026

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