Individual
LARISSA SHEREE ADDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4901 DAWN DR STE 3200, LUMBERTON, NC 28360-8288
(910) 735-8040
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
(984) 215-4111
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
314715
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/18/2025
Last updated
01/05/2026
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