Individual
MS. MELISSA A BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 687-1780
(615) 687-1798
Mailing address
275 CUMBERLAND BND, NASHVILLE, TN 37228-1805
(615) 687-1780
(615) 687-1798
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN0000114913
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000114913
RN
TN
Enumeration date
01/04/2008
Last updated
01/04/2008
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