MEDICARE: MELISSA EVERETT PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1265247548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MELISSA EVERETT PLLC

Provider Business Mailing Address
First Line	:	3131 EASTSIDE ST STE 450
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1947
Country	:	US
Telephone Number	:	310-357-0411
Fax Number	:

Provider Business Practice Location Address
First Line	:	3131 EASTSIDE ST STE 450
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77098-1947
Country	:	US
Telephone Number	:	310-357-0411
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MELISSA LYNN EVERETT
Credential	:	PMHNP
Telephone Number	:	310-357-0411

Provider Enumeration Date	:	02/12/2025
Last Update Date	:	02/12/2025

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