Individual
ALYSSA VENTURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1617 OWEN DR, FAYETTEVILLE, NC 28304-3425
(910) 491-8934
(910) 491-7119
Mailing address
1613 OWEN DR STE B, FAYETTEVILLE, NC 28304-3425
(910) 491-8934
(910) 491-7119
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0010-12713
NC
261QU0200X
Urgent Care Clinic/Center
0110007938
VA
363A00000X
Physician Assistant
Primary
0010-12713
NC
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/21/2020
Last updated
08/04/2026
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