Individual provider · Type 1 NPI

Michelle Lynn Self

Nurse Practitioner · Live Oak, TX

NPI number 1669086377 Active

Practice location

12500 Judson Rd Ste 210
Live Oak, TX 78233-4146

Mailing address

12602 Toepperwein Rd Ste 208
Live Oak, TX 78233-3271

Other practice locations

  • 9140 Guilbeau Rd, San Antonio, TX 78250-3080 · (210) 520-5183

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XAP145664 (TX)
Obstetrics & Gynecology Nurse Practitioner 363LX0001XAP145664 (TX)
Family Nurse Practitioner 363LF0000XAP145664 (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…

3 other providers at this address

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About NPI 1669086377

Michelle Lynn Self's National Provider Identifier is 1669086377, issued on Sep 1, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Live Oak, TX. The record was last updated on Apr 14, 2026.