Provider Demographics
NPI:1558874636
Name:MELTON, JOY CHIFFONA (NP)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:CHIFFONA
Last Name:MELTON
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13070 NITTANY LION CIR
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-3611
Mailing Address - Country:US
Mailing Address - Phone:240-217-4616
Mailing Address - Fax:
Practice Address - Street 1:24 N WALNUT ST STE 100
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-4741
Practice Address - Country:US
Practice Address - Phone:240-452-3400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-11-10
Last Update Date:2021-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR186998363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care