Provider Demographics
NPI:1336371715
Name:HALL, MELANIE JANE (RN BSN)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JANE
Last Name:HALL
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:MISS
Other - First Name:MELANIE
Other - Middle Name:JANE
Other - Last Name:HILL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN BSN
Mailing Address - Street 1:1013 EDINBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-8489
Mailing Address - Country:US
Mailing Address - Phone:919-237-1195
Mailing Address - Fax:
Practice Address - Street 1:1013 EDINBOROUGH DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-8489
Practice Address - Country:US
Practice Address - Phone:919-237-1195
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-18
Last Update Date:2009-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC90420163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse