Individual
MR. MELVIN WADE JAMES II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Mailing address
200 TARPON TRL, JACKSONVILLE, NC 28546-5287
(910) 938-1114
(910) 938-1118
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5004925
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00209153
—
NC
Enumeration date
10/14/2010
Last updated
04/02/2026
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