Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mellissa Kay Shaw, LPN

Individual provider Licensed Practical Nurse · NPI 1659690436

Mellissa Kay Shaw, LPN is a Licensed Practical Nurse in Johnson City, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2010
What do these letters mean?
LPN — Licensed Practical Nurse
A licensed nurse who works under the direction of an RN or physician.

See every abbreviation used in this directory →

Practice location Address checks out

900 Buffalo St
Johnson City, TN 37604-6720
Phone: (423) 232-4130
Fax: (423) 467-3644
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Practical Nurse (primary) Taxonomy 164W00000X · Licence 75455 (TN)

Record details

NPI number1659690436
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPN
Sole proprietorYes
NPI enumeratedMay 19, 2010
Last updated in NPPESMay 19, 2010

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