Individual
MELODY R WILKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
4539 HEDGEMORE DR, SUITE 100, CHARLOTTE, NC 28209-3237
(704) 331-9669
(704) 688-0035
Mailing address
4539 HEDGEMORE DR, SUITE 100, CHARLOTTE, NC 28209-3237
(704) 331-9669
(704) 688-0035
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
24165284
VA
363LF0000X
Family Nurse Practitioner
Primary
5003908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7793596
—
VA
Enumeration date
11/01/2006
Last updated
06/10/2010
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