Provider Demographics
NPI:1255448213
Name:DAY, MELISSA PATTON (FNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:PATTON
Last Name:DAY
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:PO BOX 601067
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-1067
Mailing Address - Country:US
Mailing Address - Phone:704-373-1813
Mailing Address - Fax:704-342-5871
Practice Address - Street 1:1001 BLYTHE BLVD
Practice Address - Street 2:SUITE 200D
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-6215
Practice Address - Country:US
Practice Address - Phone:704-373-1813
Practice Address - Fax:704-342-5871
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC174301163W00000X
NC201607363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1255448213Medicaid
SCNP0757Medicaid
NC7000968Medicaid
NC7000968Medicaid
NC2809501AMedicare PIN