MEDICARE: MS. JOYCE PATTERSON MELTON R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	051151	NC

General Provider Information

NPI Number	:	1255751699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOYCE PATTERSON MELTON R.N.

Provider Business Mailing Address
First Line	:	PO BOX 34452
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28234
Country	:	US
Telephone Number	:	704-391-7476
Fax Number	:	704-391-7476

Provider Business Practice Location Address
First Line	:	7409 PAWTUCKETT RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28214
Country	:	US
Telephone Number	:	704-391-7476
Fax Number	:	704-391-7476

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/24/2014
Last Update Date	:	04/24/2014

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