Provider Demographics
NPI:1770383978
Name:JONES, MELISSA MARIE (RN, BSN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:JONES
Suffix:
Gender:
Credentials:RN, BSN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARIE
Other - Last Name:LEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, BSN
Mailing Address - Street 1:13361 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:GIBSON
Mailing Address - State:NC
Mailing Address - Zip Code:28343-8803
Mailing Address - Country:US
Mailing Address - Phone:843-337-9547
Mailing Address - Fax:843-337-9547
Practice Address - Street 1:13361 CHURCH ST
Practice Address - Street 2:
Practice Address - City:GIBSON
Practice Address - State:NC
Practice Address - Zip Code:28343-8803
Practice Address - Country:US
Practice Address - Phone:843-337-9547
Practice Address - Fax:843-337-9547
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC363848163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse