Provider Demographics
NPI:1295423325
Name:WEBBER, MELISSA G (APRN)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:G
Last Name:WEBBER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:201 PROSPERITY DR
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37923-4711
Mailing Address - Country:US
Mailing Address - Phone:865-297-5556
Mailing Address - Fax:865-263-6060
Practice Address - Street 1:201 PROSPERITY DR
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37923-4711
Practice Address - Country:US
Practice Address - Phone:865-297-5556
Practice Address - Fax:865-263-6060
Is Sole Proprietor?:No
Enumeration Date:2023-04-26
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN36749363LP0808X
TN176395163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice