Individual
ALYSSA JO PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
1738 METROMEDICAL DR, FAYETTEVILLE, NC 28304-3861
(910) 484-4191
Mailing address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 484-4191
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
855
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
855
NC
213ES0131X
Foot Surgery Podiatrist
855
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2022
Last updated
02/04/2026
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