Individual
DEENA S LILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
2800 BLUE RIDGE RD STE 300, RALEIGH, NC 27607-6476
(919) 784-7874
Mailing address
1025 CHESSRIDGE WAY, MORRISVILLE, NC 27560-6011
(919) 609-6903
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5006971
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02477329
—
MS
05
—
1567990
—
LA
Enumeration date
04/20/2009
Last updated
10/19/2021
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