Individual
MELANIE HERNANDEZ DOUGLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7201 US HIGHWAY 64 E, KNIGHTDALE, NC 27545-9268
(866) 389-2727
Mailing address
2801 WILSHIRE HILL DR UNIT 105, RALEIGH, NC 27604-5302
(919) 282-2746
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5019002
NC
Other
Enumeration date
10/12/2023
Last updated
10/25/2024
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