Individual
MELISSA WHITESELL BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1124 GALLERY PARK LN, WILMINGTON, NC 28412-1142
(910) 343-1031
Mailing address
102 HANDLEY PARK CT, GOLDSBORO, NC 27534-1769
(919) 734-3344
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
796
NC
Other
Enumeration date
06/10/2021
Last updated
07/29/2024
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