Individual
MELISA WALLACE PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
514 N BROAD ST, SEAGROVE, NC 27341
(336) 873-8045
(336) 873-9074
Mailing address
218 FOUST ST STE C, ASHEBORO, NC 27203-5476
(336) 625-2333
(336) 625-5511
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5012013
NC
363LF0000X
Family Nurse Practitioner
Primary
5012013
NC
Other
Enumeration date
07/18/2019
Last updated
01/16/2020
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