Individual
MRS. JUANITA MEADS MELKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
711 ROANOKE AVE, ELIZABETH CITY, NC 27909-5643
(252) 338-4400
(252) 337-6792
Mailing address
535 POINTE VISTA DR, ELIZABETH CITY, NC 27909-9116
(252) 330-4079
(252) 337-6792
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
101908
NC
163WE0003X
Emergency Registered Nurse
101908
NC
363LF0000X
Family Nurse Practitioner
Primary
5007165
NC
Other
Enumeration date
09/25/2006
Last updated
10/10/2014
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