Provider Demographics
NPI:1255751699
Name:MELTON, JOYCE PATTERSON (RN)
Entity type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:PATTERSON
Last Name:MELTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:JOYCE
Other - Middle Name:PATTERSON
Other - Last Name:LOVE(JOYCE ELAINE PATTERSON(MAIDEN)
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:PO BOX 34452
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28234
Mailing Address - Country:US
Mailing Address - Phone:704-391-7476
Mailing Address - Fax:704-391-7476
Practice Address - Street 1:7409 PAWTUCKETT RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28214
Practice Address - Country:US
Practice Address - Phone:704-391-7476
Practice Address - Fax:704-391-7476
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC051151163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse