Harrison, Melanie R.

Harrison, Melanie R. is an individual health care provider with primary practice located at 1 Professional Park Dr Suite 21, Johnson City TN 37604-6587. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Emergency Medicine, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is her primary health care specialty. Harrison, Melanie R. can be contacted via phone (423) 946-4163.

Contact Information

Primary practice address
1 Professional Park Dr Suite 21 Johnson City TN 37604-6587
Phone: (423) 946-4163
Fax: (423) 232-6903
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Tennessee
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1494 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1494 Tennessee

Profile Details

NPI number 1326178138
LBN Legal business name Harrison, Melanie R.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2007
Last updated Oct 24th, 2013 - about 11 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 1326178138 NPPES
Tennessee MEDICAID 3665068

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