Individual provider · Type 1 NPI

Melissa Vaughn Mortimer, NP-C

Nurse Practitioner · Lubbock, TX

NPI number 1609332386 Active

Practice location

13806 Quaker Ave, Ste 100
Lubbock, TX 79424-1703

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP140925 (TX)
Family Nurse Practitioner 363LF0000XF02190619 (TX)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1609332386

Melissa Vaughn Mortimer, NP-C's National Provider Identifier is 1609332386, issued on Feb 18, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Lubbock, TX. The record was last updated on Jul 16, 2026.