White, Melissa Ann

White, Melissa Ann is an individual health care provider with primary practice located at 301 Med Tech Pkwy Ste 110 , Johnson City TN 37604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. White, Melissa Ann can be contacted via phone (423) 794-5580.

Contact Information

Primary practice address
301 Med Tech Pkwy Ste 110 Johnson City TN 37604
Phone: (423) 794-5580
Fax: (423) 232-8561
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 14376 Tennessee

Profile Details

NPI number 1114220472
LBN Legal business name White, Melissa Ann
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2010
Last updated Jul 11th, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114220472 NPPES
Tennessee MEDICAID 1522234
Tennessee Other 4289807

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