Individual
MICHELLE ANGELINA MACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2645 MERIDIAN PKWY STE 323, DURHAM, NC 27713-4232
(984) 227-8902
(844) 813-6747
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(312) 733-9730
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5006858
NC
363LF0000X
Family Nurse Practitioner
Primary
F0314142
NC
Other
Enumeration date
03/08/2014
Last updated
09/15/2025
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