Provider Demographics
NPI:1316447196
Name:CHIN, MELISSA (FNP-C)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:CHIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MS
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:CHIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3128 S HIGHWAY 35
Mailing Address - Street 2:
Mailing Address - City:ALVIN
Mailing Address - State:TX
Mailing Address - Zip Code:77511-1404
Mailing Address - Country:US
Mailing Address - Phone:281-648-4800
Mailing Address - Fax:
Practice Address - Street 1:3128 S HIGHWAY 35
Practice Address - Street 2:
Practice Address - City:ALVIN
Practice Address - State:TX
Practice Address - Zip Code:77511-1404
Practice Address - Country:US
Practice Address - Phone:281-886-8964
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-18
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP136480363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily