MEDICARE: MRS. MONIQUE ANNE REEVES PMHNP

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	1216151	TX

General Provider Information

NPI Number	:	1831066737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MONIQUE ANNE REEVES PMHNP

Provider Business Mailing Address
First Line	:	9607 HURON AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-4023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4401 6TH ST STE A
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-4700
Country	:	US
Telephone Number	:	806-793-7491
Fax Number	:

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

Provider Enumeration Date	:	10/23/2025
Last Update Date	:	10/24/2025

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