Provider Demographics
NPI:1700678182
Name:WALTON, MELISSA HALEY (FNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:HALEY
Last Name:WALTON
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:137 FAIRMONT CIR
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-5210
Mailing Address - Country:US
Mailing Address - Phone:434-228-5885
Mailing Address - Fax:434-228-5885
Practice Address - Street 1:723 S VAN BUREN RD STE B
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5418
Practice Address - Country:US
Practice Address - Phone:434-228-5885
Practice Address - Fax:336-627-5747
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-21
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5022154363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily