Provider Demographics
NPI:1235275694
Name:MORELOCK, MELISSA BROOKS (RN)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:BROOKS
Last Name:MORELOCK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 REECE RD
Mailing Address - Street 2:
Mailing Address - City:TAZEWELL
Mailing Address - State:TN
Mailing Address - Zip Code:37879-3941
Mailing Address - Country:US
Mailing Address - Phone:423-626-3394
Mailing Address - Fax:423-626-2525
Practice Address - Street 1:620 DAVIS DR
Practice Address - Street 2:
Practice Address - City:NEW TAZEWELL
Practice Address - State:TN
Practice Address - Zip Code:37825-2152
Practice Address - Country:US
Practice Address - Phone:423-626-4291
Practice Address - Fax:423-626-2525
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN 0000128297163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health