Provider Demographics
NPI:1912214594
Name:HOWARD-GRAY, MELISSA S (FNP-C)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:S
Last Name:HOWARD-GRAY
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 N THOMPSON LN
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-4305
Mailing Address - Country:US
Mailing Address - Phone:615-896-4482
Mailing Address - Fax:615-896-4472
Practice Address - Street 1:115 N THOMPSON LN
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-4305
Practice Address - Country:US
Practice Address - Phone:615-896-4482
Practice Address - Fax:615-896-4472
Is Sole Proprietor?:No
Enumeration Date:2010-09-03
Last Update Date:2010-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN15159363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily