Individual
JESUS M MELENDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN
Contact information
Practice address
1060 PEERLESS XING NW, SUITE 200, CLEVELAND, TN 37312-3784
(423) 479-4165
(423) 478-1884
Mailing address
1060 PEERLESS XING NW, SUITE 200, CLEVELAND, TN 37312-3784
(423) 479-4165
(423) 478-1884
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13576
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1511396
—
TN
Enumeration date
10/15/2008
Last updated
09/04/2020
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