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Melissa O Leake, FNP
Family Nurse Practitioner in Johnson City, Tennessee
NPI 1740285915

Melissa O Leake is a Family Nurse Practitioner based in Johnson City, TN and is specialized in Family. Melissa O Leake practices in Johnson City, TN and has the professional credentials of FNP. The NPI Number for Melissa O Leake is 1740285915 and holds a License No. 6483 (Tennessee).

The current practice location address for Melissa O Leake is 301 Med Tech Pkwy, Johnson City, TN and can be reached out via phone at 423-794-5520 and via fax at 423-282-0720.

Location: 301 Med Tech Pkwy, Johnson City, TN, 37601-1761
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740285915
Provider Name
Melissa O Leake
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
301 Med Tech Pkwy, Johnson City, TN, 37601-1761
Phone Number
423-794-5520
Fax Number
423-282-0720
Provider Enumeration Date
06/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3905935 05 TN
institution
Provider Business Practice Location Address Details
Address
301 Med Tech Pkwy
City
Johnson City
State
Tennessee
Zip
37604-2364
Phone Number
423-794-5520
Fax Number
423-282-0720
person
Provider Business Mailing Address Details
Address
301 Med Tech Pkwy
City
Johnson City
State
Tennessee
Zip
37604-2364
Phone Number
423-794-5520
Fax Number
423-282-0720
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
6483 (Tennessee)
Definition
Definition to come...
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