MEDICARE: MRS. MELISSA ADRIELLE SCOTT FNP-C

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	363LF0000X	Family Nurse Practitioner	C-APN.0106070-C-NP	CO
2	363LF0000X	Family Nurse Practitioner	1035042	TX
3	363LF0000X	Family Nurse Practitioner	F11200537	MS
4	363LF0000X	Family Nurse Practitioner	38555	TN

General Provider Information

NPI Number	:	1437748357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELISSA ADRIELLE SCOTT FNP-C

Provider Business Mailing Address
First Line	:	1411 MAIN ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75202-4052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 FANNIN ST STE 262
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77002-1916
Country	:	US
Telephone Number	:	866-849-0692
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2021
Last Update Date	:	03/31/2026

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