Melissa Rena Dimerson, APRN
Nurse Practitioner, Family in Conroe, TX. Individual provider (NPI-1).
NPI number1679124697
StatusActive
Last updated in NPPESAug 14, 2020
Details
- NPI
- 1679124697
- Entity type
- Individual (NPI-1)
- Name
- Melissa Rena Dimerson
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 20, 2019
- Certification date
- Aug 14, 2020
- Last updated
- Aug 14, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | AP144738 | TX | Yes |
| 163W00000X | Registered Nurse | 720241 | TX |
Practice location
690 S Loop 336 W Ste 140Conroe, TX 77304-3320
Phone 936-523-7041
Mailing address
30202 Glenboro DrSpring, TX 77386-1717
Phone 817-586-6711
Other practice locations
26464 I-45 North
Spring, TX 77386
Spring, TX 77386
Phone 281-367-1518
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