Individual
MELISSA ANN FENSTERMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
705 E MARSHALL AVE STE 1002, LONGVIEW, TX 75601-5660
(903) 759-7200
Mailing address
182 TIGER LILY, DIANA, TX 75640-3273
(903) 241-6191
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1097486
TX
363LF0000X
Family Nurse Practitioner
1097486
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
UNKNOWN
UNKNOWN
—
Enumeration date
10/31/2022
Last updated
04/22/2026
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