| Mellissa Kay Shaw, LPN | |
|
900 Buffalo St, Johnson City, TN 37604-6720 | |
| (423) 232-4130 | |
| (423) 467-3644 |
| Full Name | Mellissa Kay Shaw |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 900 Buffalo St, Johnson City, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659690436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 75455 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mellissa Kay Shaw, LPN 1167 Spratlin Park Dr, Gray, TN 37615-6205 Ph: (423) 467-3600 | Mellissa Kay Shaw, LPN 900 Buffalo St, Johnson City, TN 37604-6720 Ph: (423) 232-4130 |
Rachel Amanda Clark, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 900 Buffalo St, Johnson City, TN 37604 Phone: 423-232-4130 Fax: 423-232-4135 | |
Thelia Jean Pettigrew, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 219 Princeton Rd, Johnson City, TN 37601 Phone: 423-975-2200 | |
Audra Owens, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 N Broadway St, Johnson City, TN 37601 Phone: 423-588-9978 | |
Joseph James Miller, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 20 Lake Village Ct, Johnson City, TN 37601 Phone: 423-737-4605 | |
Hailey Malone, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 219 Princeton Rd, Johnson City, TN 37601 Phone: 423-975-2200 Fax: 423-975-2210 | |
Toni Renee Dugger, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2005 Williamsburg Sq, Johnson City, TN 37604 Phone: 423-647-6710 | |
Mrs. Krystal Starr Merz, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 102 N Broadway St, Johnson City, TN 37601 Phone: 423-588-9978 |