Individual
MELANIE PACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
408 VIRGINIA ST, PARIS, TN 38242-5341
(731) 642-0521
Mailing address
408 VIRGINIA ST, PO BOX 30, PARIS, TN 38242-5341
(731) 642-0521
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
19898
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3019027
KY
Other
Enumeration date
05/13/2015
Last updated
08/17/2023
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