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NPI Code Detail

MEDICARE: MELISSA LYNN EVERETT PMHNP - BC

MEDICARE: MELISSA LYNN EVERETT PMHNP - BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner1180320TX

General Provider Information

NPI Number : 1306661566
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA LYNN EVERETT PMHNP - BC
Provider Business Mailing Address
First Line : 8701 NEW TRAILS DR STE 150
Second Line :
City : SPRING
State : TX
Zip : 77381-4546
Country : US
Telephone Number : 281-367-1015
Fax Number : 281-367-1966
Provider Business Practice Location Address
First Line : 8701 NEW TRAILS DR STE 150
Second Line :
City : SPRING
State : TX
Zip : 77381-4546
Country : US
Telephone Number : 281-367-1015
Fax Number : 281-367-1966
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/21/2024
Last Update Date : 02/05/2026

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