Baines, Melissa

Baines, Melissa is an individual health care provider with primary practice located at 700 W Forest Ave Ste 300, Jackson TN 38301-3937. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Baines, Melissa can be contacted via phone (731) 422-0330.

Contact Information

Primary practice address
700 W Forest Ave Ste 300 Jackson TN 38301-3937
Fax: (731) 422-0357
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN83333 Tennessee

Profile Details

NPI number 1699743039
LBN Legal business name Baines, Melissa
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2006
Last updated Nov 29th, 2012 - about 12 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 1699743039 NPPES
Tennessee MEDICAID 3905669

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