Healthcare Provider Details

I. General information

NPI: 1124966767
Provider Name (Legal Business Name): MELANIE OJEDA
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10901 WORLD TRADE BLVD
RALEIGH NC
27617-4203
US

IV. Provider business mailing address

120 N MEDICAL DR
CHAPEL HILL NC
27599-5022
US

V. Phone/Fax

Practice location:
  • Phone: 413-315-4100
  • Fax:
Mailing address:
  • Phone: 919-966-4260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number352753
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: