NPI 1821099151 · live from the CMS NPI Registry
Melissa L Grissinger, FNP
Nurse Practitioner, Family in Johnson City, TN. National Provider Identifier 1821099151, active.
NPI record
| NPI | 1821099151 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Family 363LF0000X |
| Practice location | 301 Med Tech Pkwy, Ste. 200, Johnson City, TN 37604 |
| Practice phone | 423-794-1300 |
| Mailing address | Po Box 3889, Johnson City, TN 37602 |
| Enumerated | August 9, 2005 |
| Last updated | April 23, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Obstetrics & Gynecology | 363LX0001X | 74683 (TN) |
| Nurse Practitioner, Family primary | 363LF0000X | 6189 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.