Individual
MELISSA VAUGHN MORTIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
13806 QUAKER AVE, STE 100, LUBBOCK, TX 79424-1703
(806) 319-6595
Mailing address
13806 QUAKER AVE, STE 100, LUBBOCK, TX 79424
(806) 319-6595
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP140925
TX
363LF0000X
Family Nurse Practitioner
F02190619
TX
Other
Enumeration date
02/18/2019
Last updated
07/16/2026
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