Provider Demographics
NPI:1629014600
Name:JUDSON, MELISSA ERIN (MSN, APRN-BC)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:ERIN
Last Name:JUDSON
Suffix:
Gender:F
Credentials:MSN, APRN-BC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ERIN
Other - Last Name:MCHENRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, APRN-BC
Mailing Address - Street 1:DUKE SPINE CENTER CLINIC 1B/1C
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27710-0001
Mailing Address - Country:US
Mailing Address - Phone:919-660-3006
Mailing Address - Fax:919-385-9353
Practice Address - Street 1:DUKE SPINE CENTER CLINIC 1B/1C
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27710-0001
Practice Address - Country:US
Practice Address - Phone:919-660-3006
Practice Address - Fax:919-385-9353
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN11716363L00000X
NC5004714363LA2200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q62557Medicare UPIN