Doctor Name: | MELODY ANN O'CONNOR |
NPI Number: | 1407258999 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP |
License Number: | AP126053 |
Business Practice Address: | Psc 8023 Bldg 4389 Nhccp Cherry Point, NC - 28533 |
Business Phone Number: | 2524660119 |
Business Fax Number: | 2524660587 |
Mailing Address: | Psc 8023 Bldg 4389, Nhccp CHERRY POINT |
State: | NC |
Postal Code: | 28533 |
Phone Number: | 2524660119 |
Fax Number: | 2524660587 |
NPI Enumeration Date: | 09/16/2014 |
NPI Last Update Date: | 09/16/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP126053 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |