Provider Demographics
NPI:1194150532
Name:BROWN, MELISSA ANNE (FNP-BC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:ANNE
Last Name:BROWN
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9019 OVERLOOK BLVD STE C1
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-2736
Mailing Address - Country:US
Mailing Address - Phone:615-274-9767
Mailing Address - Fax:833-450-4801
Practice Address - Street 1:9019 OVERLOOK BLVD STE C1
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-2736
Practice Address - Country:US
Practice Address - Phone:615-274-9767
Practice Address - Fax:833-450-4801
Is Sole Proprietor?:No
Enumeration Date:2013-09-04
Last Update Date:2024-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN17837363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily