Carolan, Melissa Erin

Carolan, Melissa Erin is an individual health care provider with primary practice located at 406 N Whitney Ave Ste 5 , Cookeville TN 38501-4243. 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. Carolan, Melissa Erin can be contacted via phone (931) 783-4269.

Contact Information

Primary practice address
406 N Whitney Ave Ste 5 Cookeville TN 38501-4243
Phone: (931) 783-4269
Fax: (931) 372-0401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 15983 Tennessee

Profile Details

NPI number 1942337589
LBN Legal business name Carolan, Melissa Erin
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 28th, 2007
Last updated Feb 18th, 2020 - about 4 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 1942337589 NPPES
Tennessee MEDICAID 1525896
Tennessee MEDICAID 7100423390
Tennessee Other 4310834

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