Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MELANY MULLIGAN
NPI 1366984031
Nurse Practitioner - Family in Carbondale, IL

Active since November 13, 2016
405 W JACKSON ST, CARBONDALE, IL 62901(618) 549-0721 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 2, 2026, Dec 4, 2021, Nov 13, 2016 (3 updates tracked since 2016).

About Melany Mulligan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MELANY MULLIGAN (NPI 1366984031) is an individual family provider in Carbondale, Illinois, licensed in Illinois (209.036696) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1366984031
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMELANY MULLIGAN
Location Address405 W JACKSON STCarbondale, IL 62901-1462
Mailing Address405 W Jackson StCarbondale, IL 62901-1462
Sole ProprietorNo
Enumeration DateNovember 13, 2016
Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1366984031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IL · 209.036696
Also ListedRegistered NurseTaxonomy 163W00000X · License 041423575 (IL)
405 W JACKSON ST, Carbondale, IL 62901

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Pathology (Anatomic Pathology & Clinical Pathology)
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST, MEMORIAL HOSPITAL
CARBONDALE, IL 62901
Anesthesiology
405 W JACKSON ST
CARBONDALE, IL 62901
Physician Assistant
405 W JACKSON ST
CARBONDALE, IL 62901
Nurse Anesthetist, Certified Registered
405 W JACKSON ST
CARBONDALE, IL 62901
Pharmacist
405 W JACKSON ST
CARBONDALE, IL 62901
Emergency Medicine
405 W JACKSON ST
CARBONDALE, IL 62901

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Melany Mulligan's NPI number?

The NPI number for Melany Mulligan is 1366984031. It was assigned to this individual provider in the NPPES registry on November 13, 2016.

Where is Melany Mulligan located?

Melany Mulligan practices at 405 W Jackson St, Carbondale, IL 62901. The listed phone number is (618) 549-0721.

What is Melany Mulligan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Melany Mulligan was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.