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Individual

MELISSA KATHARINE TISDALE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN,BSN

Contact information

Practice address
344 EAGLE LANE, EVENSVILLE, TN 37332
(423) 775-7819
(423) 775-8078
Mailing address
532 BARFIELD LN, EVENSVILLE, TN 37332-4085
(423) 452-0949

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN0000114422
TN

Other

Enumeration date
05/03/2007
Last updated
07/08/2007
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