Individual
MRS. TINA MELLESMOEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
201 W LIBERTY AVE STE 101, COVINGTON, TN 38019-2500
(901) 296-8006
Mailing address
201 W LIBERTY AVE STE 101, COVINGTON, TN 38019-2500
(901) 296-8006
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
Primary
241264
TN
Other
Enumeration date
02/10/2025
Last updated
02/26/2025
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