Individual
ALEXIS PASSINGHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 N DYSON ST, HOLLY RIDGE, NC 28445-8502
(910) 329-7591
Mailing address
206 N DYSON ST, HOLLY RIDGE, NC 28445-8502
(910) 329-7591
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5006184
NC
Other
Enumeration date
05/21/2013
Last updated
10/15/2013
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