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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELISSA LA RUSSO DAVIS, CPNP

Active Sole Proprietor

MELISSA LA RUSSO DAVIS, CPNP is a Pediatric Nurse Practitioner healthcare provider located in CHARLOTTE, North Carolina. NPI 1437443090 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · CHARLOTTE, NC

Registration Details

NPI Number
1437443090
Provider Type
Individual
Gender
Female
NPI Issued
Jun 1, 2011 (15.162380881568 yrs)
Last Updated
Aug 2, 2024
Licenses
5001556 (NC)
5001556 (NC)
Sole Proprietor
Yes

Practice Information

Address
14214 BALLANTYNE LAKE RD
CHARLOTTE, NC, 282773372
Browse NC providers · Browse ZIP 28277
Phone
7046672600
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in CHARLOTTE, NC

Name Credential NPI
JAN RAPISARDO PNP 1063408664
JUDITH H. GRUBBS PNP 1194787655
TERRI J FORSYTH NP 1356382279
MARYBETH HAYNES NP 1285658054
MARK BENTON MOORE ARNP 1205948981
DIANE E KRAYNAK N.P. 1467556886
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.