Sutton, Melissa A

Sutton, Melissa A is an individual health care provider with primary practice located at 709 Hollybrook Drive Suite 2301, Longview TX 75605-2411. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Sutton, Melissa A can be contacted via phone (903) 757-4691.

Contact Information

Primary practice address
709 Hollybrook Drive Suite 2301 Longview TX 75605-2411
Phone: (903) 757-4691
Fax: (903) 757-4875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 657825 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP112666 Texas

Profile Details

NPI number 1528115755
LBN Legal business name Sutton, Melissa A
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 9th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528115755 NPPES
Texas MEDICAID 165806403

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