Individual
MRS. MELISSA JOHNSON HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
308 BOULEVARD ST, HIGH POINT, NC 27262-3802
(336) 801-1188
Mailing address
308 BOULEVARD ST, HIGH POINT, NC 27262-3802
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
227872
NC
363LF0000X
Family Nurse Practitioner
5007248
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5007248
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508269317
—
NC
05
—
NP2998
—
SC
Enumeration date
10/07/2014
Last updated
03/03/2021
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