Healthcare Provider Details

I. General information

NPI: 1437472297
Provider Name (Legal Business Name): MELISSA G DEAL ANP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/09/2010
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 DELBURG ST
DAVIDSON NC
28036-8634
US

IV. Provider business mailing address

PO BOX 1845
STATESVILLE NC
28687-1845
US

V. Phone/Fax

Practice location:
  • Phone: 844-525-8500
  • Fax: 571-376-6751
Mailing address:
  • Phone: 704-873-4277
  • Fax: 704-978-3549

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number5004660
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: