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:
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Health care specialties

SpecialtyCodeLicense #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 5 months 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 1821099151 NPPES
Tennessee MEDICAID 3929043

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