Long, Melanie

Long, Melanie is an individual health care provider with primary practice located at 111 Epperson St , Athens TN 37303-3478. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Long, Melanie can be contacted via phone (423) 745-5955.

Contact Information

Primary practice address
111 Epperson St Athens TN 37303-3478
Phone: (423) 745-5955
Fax: (423) 745-6423
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN110031 Tennessee

Profile Details

NPI number 1578665352
LBN Legal business name Long, Melanie
Credentials FNP,CS
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1578665352 NPPES
Tennessee MEDICAID 3902745

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