Individual
MELISSA FLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7903 PROVIDENCE RD STE 100, CHARLOTTE, NC 28277
(704) 316-4460
(704) 316-4466
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-4460
(704) 316-4466
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
20068
SC
363L00000X
Nurse Practitioner
Primary
5007948
NC
Other
Enumeration date
09/08/2015
Last updated
10/26/2020
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