Individual
JACQUETTA MELONY FOUSHEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8502 SIX FORKS RD STE 102, RALEIGH, NC 27615-3264
(984) 207-1098
(984) 202-2194
Mailing address
8502 SIX FORKS RD STE 102, RALEIGH, NC 27615-3264
(984) 207-1098
(984) 202-2194
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
2018-01538
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/05/2012
Last updated
01/13/2026
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