Provider Demographics
NPI:1003405267
Name:TILLES, FELICIA MONICA (FNP)
Entity Type:Individual
Prefix:
First Name:FELICIA
Middle Name:MONICA
Last Name:TILLES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:194 FINLEY GOLF COURSE RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4400
Mailing Address - Country:US
Mailing Address - Phone:984-974-4401
Mailing Address - Fax:984-974-2287
Practice Address - Street 1:194 FINLEY GOLF COURSE RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4400
Practice Address - Country:US
Practice Address - Phone:984-974-4401
Practice Address - Fax:984-974-2287
Is Sole Proprietor?:No
Enumeration Date:2021-01-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC232748363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner