Individual
MELISSA LYNN MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6019 WALNUT GROVE RD, MEMPHIS, TN 38120-2113
(901) 227-8908
(901) 226-4774
Mailing address
350 N HUMPHREYS BLVD, MEMPHIS, TN 38120-2177
(901) 226-4003
(901) 227-8591
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
39459
TN
363LG0600X
Gerontology Nurse Practitioner
39459
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/04/2024
Last updated
10/07/2025
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