Individual
MIKEALA MARMELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
51 OFFICE PARK DR, JACKSONVILLE, NC 28546-7327
(910) 577-5199
Mailing address
350 COSTON RD LOT 3, RICHLANDS, NC 28574-7447
(319) 283-0122
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5017830
NC
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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