| Doctor Name: | MELINDA FLEENOR |
| NPI Number: | 1215225073 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 15798 |
| Business Practice Address: | 1501 3rd Ave E Big Stone Gap, VA - 242193115 |
| Business Phone Number: | 2765230599 |
| Business Fax Number: | 2765236480 |
| Mailing Address: | Po Box 888, BIG STONE GAP |
| State: | VA |
| Postal Code: | 242190888 |
| Phone Number: | 2765230599 |
| Fax Number: | 2765236480 |
| NPI Enumeration Date: | 07/14/2011 |
| NPI Last Update Date: | 08/27/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 15798 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |