Individual
LISA BEELER HUNTSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
812 W KING ST, KINGS MOUNTAIN, NC 28086-2748
(704) 739-5456
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
(704) 864-7608
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
086296
NC
363LF0000X
Family Nurse Practitioner
Primary
201538
NC
363LF0000X
Family Nurse Practitioner
F4423
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7000929
—
NC
05
—
NP0927
—
SC
Enumeration date
08/25/2006
Last updated
03/10/2025
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