Provider Demographics
NPI:1922553510
Name:WILKIN, MELISSA KAY (FNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:KAY
Last Name:WILKIN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:HOWELL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3251 I 45 N
Mailing Address - Street 2:STE 100
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-2185
Mailing Address - Country:US
Mailing Address - Phone:936-441-9000
Mailing Address - Fax:936-494-4431
Practice Address - Street 1:3251 I 45 N STE 100
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-2185
Practice Address - Country:US
Practice Address - Phone:936-788-8139
Practice Address - Fax:936-788-8180
Is Sole Proprietor?:No
Enumeration Date:2016-08-24
Last Update Date:2017-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131214363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily