Provider Demographics
NPI:1497235220
Name:CURTIS, MELISSA RENEE (BS)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:RENEE
Last Name:CURTIS
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:MELISS
Other - Middle Name:MASHBURN
Other - Last Name:CURTIS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BS,
Mailing Address - Street 1:231 SUMMER LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SUMMERTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:38483-7394
Mailing Address - Country:US
Mailing Address - Phone:931-201-6739
Mailing Address - Fax:
Practice Address - Street 1:801 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:TN
Practice Address - Zip Code:38401-3108
Practice Address - Country:US
Practice Address - Phone:931-548-9653
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator