Provider Demographics
NPI:1225166564
Name:HARPER, MELINDA R (PNP)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:R
Last Name:HARPER
Suffix:
Gender:F
Credentials:PNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37110-2508
Mailing Address - Country:US
Mailing Address - Phone:931-815-5437
Mailing Address - Fax:931-507-5440
Practice Address - Street 1:236 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:TN
Practice Address - Zip Code:37110-2508
Practice Address - Country:US
Practice Address - Phone:931-815-5437
Practice Address - Fax:931-507-5440
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2011-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN12370363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner