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Mellissa Kay Shaw, LPN
Licensed Practical Nurse in Johnson City, Tennessee
NPI 1659690436

Mellissa Kay Shaw is a Licensed Practical Nurse based in Gray, TN. Mellissa Kay Shaw practices in Johnson City, TN and has the professional credentials of LPN. The NPI Number for Mellissa Kay Shaw is 1659690436 and holds a License No. 75455 (Tennessee).

The current practice location address for Mellissa Kay Shaw is 900 Buffalo St, Johnson City, TN and can be reached out via phone at 423-232-4130 and via fax at 423-467-3644.

Location: 900 Buffalo St, Johnson City, TN, 37615-6205
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659690436
Provider Name
Mellissa Kay Shaw
Credential
LPN
Provider Entity Type
Individual
Gender
Female
Address
900 Buffalo St, Johnson City, TN, 37615-6205
Phone Number
423-232-4130
Fax Number
423-467-3644
Provider Enumeration Date
05/19/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
900 Buffalo St
City
Johnson City
State
Tennessee
Zip
37604-6720
Phone Number
423-232-4130
Fax Number
423-467-3644
person
Provider Business Mailing Address Details
Address
900 Buffalo St
City
Johnson City
State
Tennessee
Zip
37604-6720
Phone Number
423-232-4130
Fax Number
423-467-3644
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
164W00000X
License No.
75455 (Tennessee)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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