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Individual

MELISSA ANNE BENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AGPCNP

Contact information

Practice address
10905 PROVIDENCE RD W, STE G200, CHARLOTTE, NC 28277-1538
(980) 488-4900
(980) 488-4905
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(980) 488-4900
(980) 488-4905

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5005277
NC
363LA2200X
Adult Health Nurse Practitioner
5005277
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093096422
NC
Enumeration date
08/30/2011
Last updated
09/27/2024
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