Individual
MELISSA MCMACKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
316 E HARPER ST, TROY, TN 38260-5951
(731) 536-4624
(731) 536-4905
Mailing address
316 E HARPER ST, TROY, TN 38260-5951
(731) 536-4624
(731) 536-4905
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
20918
TN
Other
Enumeration date
01/26/2016
Last updated
02/11/2016
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