Healthcare Provider Details

I. General information

NPI: 1003405267
Provider Name (Legal Business Name): FELICIA MONICA TILLES FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/12/2021
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

194 FINLEY GOLF COURSE RD
CHAPEL HILL NC
27517-4400
US

IV. Provider business mailing address

194 FINLEY GOLF COURSE RD
CHAPEL HILL NC
27517-4400
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-4401
  • Fax: 984-974-2287
Mailing address:
  • Phone: 984-974-4401
  • Fax: 984-974-2287

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number232748
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: