Woodard, Melissa Russ

Woodard, Melissa Russ is an individual health care provider with primary practice located at 270 Copperfield Blvd Ne Suite 201, Concord NC 28025-2441. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Woodard, Melissa Russ can be contacted via phone (704) 403-1911.

Contact Information

Primary practice address
270 Copperfield Blvd Ne Suite 201 Concord NC 28025-2441
Phone: (704) 403-1911
Fax: (704) 403-1901
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5004200 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 183159 North Carolina

Profile Details

NPI number 1386896702
LBN Legal business name Woodard, Melissa Russ
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2008
Last updated Jul 26th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386896702 NPPES
North Carolina MEDICAID 7004438

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