Individual
MELISSA L DEVER-MOUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1026
Mailing address
3617 S PACIFIC HWY, MEDFORD, OR 97501-8957
(541) 535-6239
(541) 512-1026
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201407387NP-PP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
737855
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500678123
—
OR
Enumeration date
04/25/2011
Last updated
12/30/2014
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