Provider Demographics
NPI:1982712436
Name:TAYLOR, MELISSA G (FNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:G
Last Name:TAYLOR
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 1:505 W FLEMING DR
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-3923
Mailing Address - Country:US
Mailing Address - Phone:828-435-2463
Mailing Address - Fax:828-548-0815
Practice Address - Street 1:505 W FLEMING DR
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-3923
Practice Address - Country:US
Practice Address - Phone:828-435-2463
Practice Address - Fax:828-548-0815
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC005002051363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7005696Medicaid
NC1982712436OtherBCBS
NC1982712436OtherBCBS
NC7005696Medicaid