IndividualActive
Tina Mellesmoen, RN
NPI 1073328936 · Infusion Therapy Registered Nurse · Covington, TN
Provider details
- NPI number
- 1073328936
- Entity type
- Individual
- Primary specialty
- Infusion Therapy Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- License
- 241264 (TN)
Specialties & taxonomies
Nursing Service Providers
Practice location
201 W Liberty Ave Ste 101
Covington, TN 38019-2500
Phone: (901) 296-8006
Approximate (ZIP-level) locationGet directions
Mailing address
201 W Liberty Ave Ste 101
Covington, TN 38019-2500
Registry dates
- Enumerated
- 2025-02-10
- Last updated
- 2025-02-26
- Certified
- 2025-02-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.