Healthcare Provider Details

I. General information

NPI: 1124657655
Provider Name (Legal Business Name): JOCELYN MENDES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 W BARBEE CHAPEL RD STE 309
CHAPEL HILL NC
27517-7892
US

IV. Provider business mailing address

1910 BEARKLING PL
CHAPEL HILL NC
27517-9416
US

V. Phone/Fax

Practice location:
  • Phone: 336-438-8030
  • Fax: 919-335-4429
Mailing address:
  • Phone: 919-357-1707
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License Number2024-00794
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: