Individual
LISA ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
Mailing address
155 MEMORIAL DR, PINEHURST, NC 28374-8710
(910) 715-2164
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5013179
NC
363LA2200X
Adult Health Nurse Practitioner
TP005643C
PA
363LF0000X
Family Nurse Practitioner
SP008112
PA
Other
Enumeration date
09/01/2005
Last updated
07/23/2020
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