Basic Information
Provider Information
NPI: 1427086743
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CARLTON
FirstName: MELISSA
MiddleName: A
NamePrefix:  
NameSuffix:  
Credential: FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 710
Address2:  
City: LENOIR
State: NC
PostalCode: 286450710
CountryCode: US
TelephoneNumber: 8287575070
FaxNumber: 8287577882
Practice Location
Address1: 2651 MORGANTON BLVD SW
Address2:  
City: LENOIR
State: NC
PostalCode: 286458183
CountryCode: US
TelephoneNumber: 8287592000
FaxNumber: 8287578968
Other Information
ProviderEnumerationDate: 06/28/2006
LastUpdateDate: 03/18/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/18/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363L00000X201673NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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