Melissa Dianne Archibald, LPN
Individual provider Active NPI Licensed Practical Nurse · Trenton, TN
NPI 1619712650 · NPPES record last updated Jul 1, 2024
Key facts
- NPI
- 1619712650
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 59686 (TN)
- Practice address
- 1250 S Manufacturers Row
Trenton, TN 38382-3632 - Phone
- (731) 855-7601
- NPI assigned
- Jul 1, 2024
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59686 | TN | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 59686 | TN | Yes |
Addresses
Primary practice location
1250 S Manufacturers Row
Trenton, TN 38382-3632
Mailing address
1250 S Manufacturers Row
Trenton, TN 38382-3632
Phone (731) 855-7601
Other providers in Trenton, TN
- Adenike Adedeji
- Aegis Group Practice LLC
- Abigail Breanne Allen
- Whitlee Allen
- Kate R Avery
- Ginny Sue Baker
- Ginger Nichole Barnes
- John Robert Barnett
- Gary Clinton Buchanan
All providers in Trenton, 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 Jul 1, 2024. 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.