Individual provider · NPI-1

Melissa Grace Nicholson, RNCPCP

Nurse Practitioner, Pediatrics · Highland Village, TX

NPI number1083887335
StatusActive
Last updated in NPPESApr 8, 2008

Details

NPI
1083887335
Entity type
Individual (NPI-1)
Name
Melissa Grace Nicholson
Credential
RNCPCP
Sex
Female
Sole proprietor
No
Enumeration date
Apr 8, 2008
Last updated
Apr 8, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP0200X Nurse Practitioner, Pediatrics521670TXYes

Practice location

2280 Highland Village Rd Ste 130
Highland Village, TX 75077-7189

Phone 972-317-6000 · Fax 972-317-6011

Mailing address

2280 Highland Village Rd Ste 130
Highland Village, TX 75077-7189

Phone 972-317-6000 · Fax 972-317-6011

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