Provider Demographics
NPI:1417343039
Name:HEARRELL, MELISSA LEANN (APRN FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LEANN
Last Name:HEARRELL
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Gender:F
Credentials:APRN FNP-C
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Mailing Address - Street 1:7711 LOUIS PASTEUR DR
Mailing Address - Street 2:SUITE 406
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-3415
Mailing Address - Country:US
Mailing Address - Phone:210-614-6673
Mailing Address - Fax:210-614-5340
Practice Address - Street 1:7711 LOUIS PASTEUR DR
Practice Address - Street 2:SUITE 406
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-3415
Practice Address - Country:US
Practice Address - Phone:210-614-6673
Practice Address - Fax:210-614-5340
Is Sole Proprietor?:No
Enumeration Date:2015-04-09
Last Update Date:2016-02-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TXAP127944363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily