MS. JACQUETTA WOODS MELVIN PA-C NPI 1497987333

NPI Information

NPI: 1497987333
Provider Name: MS. JACQUETTA WOODS MELVIN, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Address:
2815 CATES AVE
CAMPUS BOX 7304
RALEIGH, NC
ZIP 27695
Phone: (919) 515-2563
Get Directions

MS. Jacquetta Woods Melvin, PA-C is a medical physician assistant in Raleigh, NC. MS. Jacquetta Woods Melvin, PA-C NPI is 1497987333. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2815 CATES AVE
CAMPUS BOX 7304
RALEIGH, NC
ZIP 27695-304
Phone: (919) 515-2563

The enumeration date for this NPI number is 8/11/2009 and was last updated on 7/29/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	0010-01936	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NC2438A	MEDICARE UPIN	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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