Provider Demographics
NPI:1699198754
Name:MCKEY, MELISSA CHRISTINE (RN, MSN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:CHRISTINE
Last Name:MCKEY
Suffix:
Gender:F
Credentials:RN, MSN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2352 EARLE ST
Mailing Address - Street 2:
Mailing Address - City:PORT NECHES
Mailing Address - State:TX
Mailing Address - Zip Code:77651-4414
Mailing Address - Country:US
Mailing Address - Phone:409-466-4690
Mailing Address - Fax:
Practice Address - Street 1:1003 NEDERLAND AVE
Practice Address - Street 2:
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-2832
Practice Address - Country:US
Practice Address - Phone:409-344-4466
Practice Address - Fax:409-600-8525
Is Sole Proprietor?:No
Enumeration Date:2014-01-27
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX773863363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily