Individual
MELISSA JOANN DOCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(915) 742-3361
(915) 742-2519
Mailing address
2158 ENCHANTED CREEK WAY, EL PASO, TX 79911-7509
(915) 861-3078
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
799763
TX
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
143585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
143585
TEXAS BOARD ADVANCED PRACTICE PMHNP LICENSE NUMBER
TX
01
—
799763
TEXAS BOARD OF NURSING LICENSE NUMBER
TX
Enumeration date
04/23/2018
Last updated
03/11/2026
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