Individual
MELISSA CUSTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
(704) 638-9000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5009354
NC
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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