| Doctor Name: | MELANIE MARIE SCOTT |
| NPI Number: | 1902237985 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | AGPCNP-BC |
| License Number: | 18177 |
| Business Practice Address: | 157 Ross Carter Blvd Duffield, VA - 242445116 |
| Business Phone Number: | 4232821480 |
| Business Fax Number: | 4239281353 |
| Mailing Address: | 119 Boone Ridge Dr, Suite 201 JOHNSON CITY |
| State: | TN |
| Postal Code: | 376154998 |
| Phone Number: | 4232821480 |
| Fax Number: | 4239281353 |
| NPI Enumeration Date: | 12/02/2013 |
| NPI Last Update Date: | 08/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 18177 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |