Healthcare Provider Details

I. General information

NPI: 1639087539
Provider Name (Legal Business Name): MIKELLE L AARON DNP, APRN, CPNP-PC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/01/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3000 NEW BERN AVE
RALEIGH NC
27610-1215
US

IV. Provider business mailing address

122 SALT CREEK LN
BOGUE NC
28570-0270
US

V. Phone/Fax

Practice location:
  • Phone: 443-694-7080
  • Fax:
Mailing address:
  • Phone: 443-694-7080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number5025353
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: