Individual
TIFFANY A MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2050 LEXINGTON RD, VERSAILLES, KY 40383-1738
(910) 336-8812
Mailing address
2050 LEXINGTON RD, VERSAILLES, KY 40383-1738
(910) 336-8812
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
231063
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/29/2025
Last updated
08/29/2025
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