Healthcare Provider Details

I. General information

NPI: 1629741640
Provider Name (Legal Business Name): MELISSA BENSON TAYLOR FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 FAIRGROVE CHURCH RD SE
CONOVER NC
28613-9090
US

IV. Provider business mailing address

3594 ENOLA RD
MORGANTON NC
28655-6280
US

V. Phone/Fax

Practice location:
  • Phone: 828-267-0551
  • Fax:
Mailing address:
  • Phone: 828-443-9281
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN11048226
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberTAYL-6MTC6
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberGAA-NP005380
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: