Custis, Melissa

Custis, Melissa is an sole proprietor health care provider with primary practice located at 1601 Brenner Ave , Salisbury NC 28144-2515. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Custis, Melissa can be contacted via phone (704) 638-9000.

Contact Information

Primary practice address
1601 Brenner Ave Salisbury NC 28144-2515
Phone: (704) 638-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5009354 North Carolina

Profile Details

NPI number 1073054151
LBN Legal business name Custis, Melissa
Credentials PMHNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 9th, 2017
Last updated Mar 9th, 2017 - about 7 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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