Provider Demographics
NPI:1649637174
Name:ERNST, MELISSA (NP-C)
Entity type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:
Last Name:ERNST
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:ERNST
Other - Last Name:HOWDESHELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:935 SHOTWELL RD STE 108
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27520-5598
Mailing Address - Country:US
Mailing Address - Phone:919-550-0821
Mailing Address - Fax:
Practice Address - Street 1:5156 NC HIGHWAY 42 W
Practice Address - Street 2:
Practice Address - City:GARNER
Practice Address - State:NC
Practice Address - Zip Code:27529-8417
Practice Address - Country:US
Practice Address - Phone:919-329-5000
Practice Address - Fax:919-329-5300
Is Sole Proprietor?:No
Enumeration Date:2016-01-28
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5008330207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine