Individual
MELISSA DANIELLE VICKREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
(817) 761-7742
Mailing address
1325 PENNSYLVANIA AVE STE 690, FORT WORTH, TX 76104-2133
(817) 761-7740
(817) 761-7742
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
1139065
TX
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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