Individual provider · Type 1 NPI

Jacquetta Woods Melvin, PA-C

Medical Physician Assistant · Raleigh, NC

NPI number 1497987333 Active

Practice location

2815 Cates Ave, Campus Box 7304
Raleigh, NC 27695-7304

Call (919) 515-2563 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X0010-01936 (NC)

Medical Physician Assistant: Definition to come...

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About NPI 1497987333

Jacquetta Woods Melvin, PA-C's National Provider Identifier is 1497987333, issued on Aug 11, 2009. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Raleigh, NC. The record was last updated on Jul 29, 2015.