Individual
MELISSA KISICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
113 GULLANE CT, APEX, NC 27502-8087
(650) 285-1420
Mailing address
113 GULLANE CT, APEX, NC 27502-8087
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
281274
NC
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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