Individual
LISA BATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1901 ADAMS FARM PKWY, GREENSBORO, NC 27407-6338
(336) 722-7266
(336) 201-0538
Mailing address
1615 POLO RD, WINSTON SALEM, NC 27106-3831
(336) 722-7266
(336) 201-0538
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5016478
NC
Other
Enumeration date
07/07/2022
Last updated
09/25/2025
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