Organization
PIONEER PEDIATRICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELINDA R HARPER PNP (PARTNER)
(931) 815-5437
Entity
Organization
Contact information
Practice address
236 E MAIN ST, MCMINNVILLE, TN 37110-2508
(931) 815-5437
(931) 507-5440
Mailing address
236 E MAIN ST, MCMINNVILLE, TN 37110-2508
(931) 815-5437
(931) 507-5440
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
1618
TN
208000000X
Pediatrics Physician
1768
TN
208000000X
Pediatrics Physician
Primary
36250
TN
363LP0200X
Pediatric Nurse Practitioner
APN0000012370
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134121783
NPI
—
01
—
1225166564
NPI
—
01
—
1316949969
NPI
—
01
—
1336183227
NPI
—
05
—
3878545
—
TN
05
—
5440223
—
TN
05
—
5440799
—
TN
05
—
5441183
—
TN
Enumeration date
08/17/2007
Last updated
08/25/2011
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