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Mellissa Shaw, LPN
NPI 1659690436 · on the registry since 2010 · sole proprietor
Practice
- Address
- 900 Buffalo St
Johnson City, TN 37604 - Phone
- (423) 232-4130
- Fax
- (423) 467-3644
- Organisation at this address
- Frontier Health
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 26
Registry record
- Primary taxonomy
- 164W00000X
164W00000X
- Licence states on file
- TN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Tennessee