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Individual

LARISSA DEESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
229 S MAIN ST STE A, RED SPRINGS, NC 28377-1621
(910) 674-8887
Mailing address
229 S MAIN ST STE A, RED SPRINGS, NC 28377-1621
(910) 674-8887
(910) 475-1204

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
5011622
NC
363LF0000X
Family Nurse Practitioner
Primary
5011622
NC
363LP2300X
Primary Care Nurse Practitioner
5011622
NC

Other

Enumeration date
03/26/2019
Last updated
05/13/2026
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