Individual
MELISSA JO TULLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9909 COLONNADE DR, TAMPA, FL 33647-1861
(813) 416-1641
(866) 643-0569
Mailing address
9909 COLONNADE DR, TAMPA, FL 33647-1861
(813) 416-1641
(866) 643-0569
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163W00000X
Registered Nurse
Primary
9372303
FL
Other
Enumeration date
07/21/2025
Last updated
07/30/2025
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