Individual
MELANIE DIANE TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
2607 MEDICAL OFFICE PL STE A, GOLDSBORO, NC 27534-9437
(919) 739-9060
(919) 739-9099
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TILL-HCY5ZI
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205391711
NPI
NC
Enumeration date
02/08/2019
Last updated
02/25/2025
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