Individual
MELISSA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
401 E 6TH ST, ODESSA, TX 79761-4516
(432) 582-2280
(432) 331-9981
Mailing address
401 E 6TH ST, ODESSA, TX 79761-4516
(432) 582-2280
(432) 331-9981
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
785789
TX
367A00000X
Advanced Practice Midwife
AP125094
TX
Other
Enumeration date
01/14/2014
Last updated
04/20/2018
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