Doctor Name: | MRS. MELISSA BROOKS MORELOCK |
NPI Number: | 1235275694 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN 0000128297 |
Business Practice Address: | 620 Davis Dr New Tazewell, TN - 378252152 |
Business Phone Number: | 4236264291 |
Business Fax Number: | 4236262525 |
Mailing Address: | 225 Reece Rd, TAZEWELL |
State: | TN |
Postal Code: | 378793941 |
Phone Number: | 4236263394 |
Fax Number: | 4236262525 |
NPI Enumeration Date: | 01/30/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | RN 0000128297 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |