Individual provider · Type 1 NPI

Megan Gresham

Licensed Practical Nurse · Kingsport, TN

NPI number 1265814727 Active

Practice location

1570 Waverly Rd
Kingsport, TN 37664-2523

Fax (423) 467-3644

Mailing address

1167 Spratlin Park Dr, PO Box 9054
Gray, TN 37615-6205

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X81919 (TN)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1265814727

Megan Gresham's National Provider Identifier is 1265814727, issued on Jun 22, 2015. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Kingsport, TN. The record was last updated on Jun 22, 2015.