Melody Gilliam, R.N.
Individual provider Active NPI Psychiatric/Mental Health Registered Nurse · New Tazewell, TN
NPI 1104298116 · NPPES record last updated Oct 29, 2015
Key facts
- NPI
- 1104298116
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Registered Nurse 163WP0808X
- License
- RN200435 (TN)
- Practice address
- 1596 Highway 33 S
New Tazewell, TN 37825-7104 - Phone
- (423) 626-8271
- Fax
- (865) 342-0106
- NPI assigned
- Oct 29, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN200435 | TN | MD | Psychiatric/Mental Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | RN200435 | TN | Yes |
Addresses
Primary practice location
1596 Highway 33 S
New Tazewell, TN 37825-7104
Mailing address
6350 W Andrew Johnson Hwy
Department 100
Talbott, TN 37877-8605
Phone (800) 355-3565
Other names
- Melody Ann Laws
Other providers in New Tazewell, TN
- Fast Pace Medical Clinic PLLC
- Fast Pace Medical Clinic PLLC
- Kayla Fortenberry
- April Dawn Fultz
- Samantha Nicole Gent
- Britney Monique Goins
- Bethany Nicole Good
- Madison Lee Graham
- Samantha Lynn Gray
- Morgan Noelle Grebe
All providers in New Tazewell, TN · Psychiatric/Mental Health Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 29, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.