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NPI Code Detail

MEDICARE: TRISTENA MELTON RN, CPNP

MEDICARE: TRISTENA MELTON RN, CPNP
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
1363L00000XNurse PractitionerAP124621TX
2363LP0200XPediatric Nurse PractitionerAP124621TX
3363LP0222XCritical Care Pediatric Nurse PractitionerAP124621TX

General Provider Information

NPI Number : 1902236227
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRISTENA MELTON RN, CPNP
Provider Business Mailing Address
First Line : 7777 FOREST LN STE C300J
Second Line :
City : DALLAS
State : TX
Zip : 75230-2604
Country : US
Telephone Number : 972-566-7730
Fax Number : 972-566-7437
Provider Business Practice Location Address
First Line : 7777 FOREST LN STE C300J
Second Line :
City : DALLAS
State : TX
Zip : 75230-2604
Country : US
Telephone Number : 972-566-7730
Fax Number : 972-566-7437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/22/2013
Last Update Date : 02/26/2026

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Directions to “ TRISTENA MELTON RN, CPNP” Practice Location

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