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NPI Code Detail

MEDICARE: DR. MELENE MELISSA MULLINGS

MEDICARE: DR. MELENE MELISSA MULLINGS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner5014095NC
2363LF0000XFamily Nurse Practitioner256608MD
3363LF0000XFamily Nurse Practitioner2264996MA
4363LF0000XFamily Nurse Practitioner002893GA
5363LF0000XFamily Nurse Practitioner3-001791AL
6363LF0000XFamily Nurse Practitioner29383SC
7363LF0000XFamily Nurse Practitioner235331AR

General Provider Information

NPI Number : 1871058628
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MELENE MELISSA MULLINGS
Provider Business Mailing Address
First Line : 82 ARNOLD AVE
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01119-1406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2645 MERIDIAN PKWY STE 323
Second Line :
City : DURHAM
State : NC
Zip : 27713-4232
Country : US
Telephone Number : 984-227-8902
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/06/2019
Last Update Date : 03/03/2026

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