Grissinger, Melissa L
Grissinger, Melissa L is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste. 200, Johnson City TN 37604. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Grissinger, Melissa L can be contacted via phone (423) 794-1300.Contact Information
Primary practice address
301 Med Tech Pkwy Ste. 200
Johnson City TN 37604
Phone: (423) 794-1300
Fax: (423) 794-1820
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 74683 | Tennessee |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6189 | Tennessee |
Profile Details
| NPI number | 1821099151 |
|---|---|
| LBN Legal business name | Grissinger, Melissa L |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Apr 23rd, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821099151 | NPPES |
| Tennessee | MEDICAID | 3929043 |
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