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NPI Code Detail

MEDICARE: MELISSA LYNN SPEARS MSN, APRN, PMHNP-BC

MEDICARE:   MELISSA LYNN SPEARS  MSN, APRN, PMHNP-BC
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 Nurse164427TN
2363LP0808XPsychiatric/Mental Health Nurse Practitioner29824TN

General Provider Information

NPI Number : 1790911469
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LYNN SPEARS MSN, APRN, PMHNP-BC
Provider Business Mailing Address
First Line : 1167 SPRATLIN PARK DR
Second Line :
City : GRAY
State : TN
Zip : 37615-6205
Country : US
Telephone Number : 423-467-3600
Fax Number : 423-467-3644
Provider Business Practice Location Address
First Line : 408 N CEDAR BLUFF RD STE 305
Second Line :
City : KNOXVILLE
State : TN
Zip : 37923-3648
Country : US
Telephone Number : 865-888-5818
Fax Number : 865-888-5819
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2009
Last Update Date : 12/05/2025

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Directions to “ MELISSA LYNN SPEARS MSN, APRN, PMHNP-BC” Practice Location

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