Basic Information
Provider Information
NPI: 1457937401
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ALLARD
FirstName: MELANIE
MiddleName: NICOLE
NamePrefix: MS.
NameSuffix:  
Credential: DNP, APRN, FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3012 SEPTEMBER DR
Address2:  
City: DURHAM
State: NC
PostalCode: 277038962
CountryCode: US
TelephoneNumber: 9105480222
FaxNumber:  
Practice Location
Address1: 170 MANNING DRIVE
Address2:  
City: CHAPEL HILL
State: NC
PostalCode: 275992882
CountryCode: US
TelephoneNumber: 9849740000
FaxNumber: 9199666735
Other Information
ProviderEnumerationDate: 03/21/2021
LastUpdateDate: 10/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X5014244NCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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