Johnson Melton, Tammy Lynne

Johnson Melton, Tammy Lynne is an individual health care provider with primary practice located at 6324 Fairview Rd Ste 310 , Charlotte NC 28210-4172. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Johnson Melton, Tammy Lynne can be contacted via phone (980) 302-8680.

Contact Information

Primary practice address
6324 Fairview Rd Ste 310 Charlotte NC 28210-4172
Phone: (980) 302-8680
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 90293 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 201712 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 201712 North Carolina

Profile Details

NPI number 1184609752
LBN Legal business name Johnson Melton, Tammy Lynne
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Mar 26th, 2021 - 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 1184609752 NPPES
Other 611186890 611186890
MEDICAID 5950066 611186890
Other 611186890 611186890
Other NP0682 611186890
Other 012U9 611186890
Other 611186890 611186890
Other 611186890 611186890
Other C4367 611186890
Other 611186890 611186890
Other 611186890 611186890
MEDICAID 7003522 611186890
Other 0171701 611186890
Other 611186890 611186890

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