Healthcare Provider Details

I. General information

NPI: 1124944202
Provider Name (Legal Business Name): MELISSA JOYNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 N QUEEN ST
KINSTON NC
28501-4932
US

IV. Provider business mailing address

324 N QUEEN ST
KINSTON NC
28501-4932
US

V. Phone/Fax

Practice location:
  • Phone: 252-522-9800
  • Fax: 252-302-5424
Mailing address:
  • Phone: 252-522-9800
  • Fax: 252-302-5424

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number202631181
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: