Provider Demographics
NPI:1326049990
Name:HOLLIFIELD, MELISSA LOVETTE (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LOVETTE
Last Name:HOLLIFIELD
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:703 NEWMAN RD
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28562-5239
Mailing Address - Country:US
Mailing Address - Phone:252-633-2900
Mailing Address - Fax:252-633-9609
Practice Address - Street 1:703 NEWMAN RD
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28562-5239
Practice Address - Country:US
Practice Address - Phone:252-633-2900
Practice Address - Fax:252-633-9609
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5005775OtherBOARD OF NURSING
NC5005775OtherBOARD OF NURSING