Provider Demographics
NPI:1265741409
Name:CLAIBORNE, MELODY L (APRN)
Entity type:Individual
Prefix:MS
First Name:MELODY
Middle Name:L
Last Name:CLAIBORNE
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23207 GOLDENSONG CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77373-8141
Mailing Address - Country:US
Mailing Address - Phone:810-610-0818
Mailing Address - Fax:
Practice Address - Street 1:23207 GOLDENSONG CT
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77373-8141
Practice Address - Country:US
Practice Address - Phone:810-610-0818
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-06
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704274229163W00000X, 363LP0808X
WAAP61451491363LP0808X
TX1108440363LP0808X
CA95030062363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse