DESERAY S MELTON NPI 1114695335

NPI Information

NPI: 1114695335
Provider Name: DESERAY S MELTON
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1022 GREYSTONE SQ
JACKSON, TN
ZIP 38305
Phone: (731) 300-2001
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Deseray S Melton is a family nurse practitioner in Jackson, TN. Deseray S Melton NPI is 1114695335. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1022 GREYSTONE SQ
JACKSON, TN
ZIP 38305-580
Phone: (731) 300-2001

The enumeration date for this NPI number is 9/1/2021 and was last updated on 11/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		200793	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	30302	TENNESSEE	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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