Individual provider · Type 1 NPI

Melissa Medina, NP-C

Nurse Practitioner · San Antonio, TX

NPI number 1639587439 Active

Practice location

621 Camden St, Ste 202
San Antonio, TX 78215-1612

Fax (210) 227-9833

Mailing address

PO Box 35629
Dallas, TX 75235-0629

Other practice locations

  • 2200 NE Neff Rd Ste 302, Bend, OR 97701-4279 · (541) 706-4220

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP61639634 (WA)
Family Nurse Practitioner 363LF0000XAP126071 (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 1639587439

Melissa Medina, NP-C's National Provider Identifier is 1639587439, issued on Jul 24, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in San Antonio, TX. The record was last updated on Oct 6, 2025.