Basic Information
Provider Information
NPI: 1568955771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DEWING
FirstName: MELISSA
MiddleName: PRISCILLA
NamePrefix:  
NameSuffix:  
Credential: MSN, APRN-FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 360
Address2:  
City: SYLVA
State: NC
PostalCode: 287790360
CountryCode: US
TelephoneNumber: 8883396065
FaxNumber: 8285384441
Practice Location
Address1: 317 N KING ST
Address2:  
City: HENDERSONVILLE
State: NC
PostalCode: 287924349
CountryCode: US
TelephoneNumber: 8286933344
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/12/2018
LastUpdateDate: 05/16/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 05/16/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207Q00000X9370786FLN Allopathic & Osteopathic PhysiciansFamily Medicine 
363L00000XARNP9370786FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363LF0000XF06180399FLN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363L00000X5016101NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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