Melissa Darlene Wrinkle, LPN
Individual provider Active NPI Licensed Practical Nurse · Oliver Springs, TN
NPI 1487239281 · NPPES record last updated Mar 12, 2021
Key facts
- NPI
- 1487239281
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 43258 (TN)
- Practice address
- 21 Edmonds Dr
Oliver Springs, TN 37840-1931 - Phone
- (865) 730-3906
- Fax
- (865) 730-3937
- NPI assigned
- Mar 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43258 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 43258 | TN | Yes |
Addresses
Primary practice location
21 Edmonds Dr
Oliver Springs, TN 37840-1931
Mailing address
2538 Old Harriman Hwy
Oliver Springs, TN 37840-2733
Phone (865) 803-6824
Other providers in Oliver Springs, TN
All providers in Oliver Springs, TN · Licensed Practical 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 Mar 12, 2021. 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.