Individual
MELISSA S TANKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 MEDICAL PARK BLVD, BRISTOL, TN 37620-7430
(423) 844-2686
(423) 844-2688
Mailing address
1007 CLIFFVIEW DR, GRAY, TN 37615-5210
(423) 477-2016
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13690
TN
367500000X
Certified Registered Nurse Anesthetist
80093
WV
Other
Enumeration date
10/07/2008
Last updated
05/19/2014
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