Melony Lee Malloy
Nurse Practitioner - Psychiatric/Mental Health
2101 Garner Rd Ste 107
Raleigh
, North Carolina 27610-4687
Melony Lee Malloy
Nurse Practitioner - Psychiatric/Mental Health
2101 Garner Rd Ste 107
Raleigh
, North Carolina 27610-4687
(252) 341-1461
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Melony Lee Malloy
- 1203 Kingsbrook Rd
- Greenville, NC
- Zip : 27858-3811
- Phone : (252) 341-1461
Second Address
- Melony Lee Malloy
- 2101 Garner Rd Ste 107
- Raleigh, NC
- Zip : 27610-4687
- Phone : (919) 787-6131
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5011396 | NC |
National Provider Identifier
| NPI | 1033673736 |
|---|---|
| Provider Name | Melony Lee Malloy |
| First Address | Greenville, NC 27858-3811 |
| Second Address | Raleigh, NC 27610-4687 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/01/2019 |
| Last Update Date | 11/12/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.