Individual
RUNGNAPA KANNU-MELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
340 N CEDAR AVE, COOKEVILLE, TN 38501-2421
(931) 783-5353
Mailing address
140 W 7TH ST, COOKEVILLE, TN 38501-1726
(931) 783-5582
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
33270
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33270
APN LICENSE
TN
05
—
Q082008
—
TN
Enumeration date
01/30/2023
Last updated
05/31/2023
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