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Organization

IVY ADVANCED PRACTICE HEALTH, PLLC

Active
Parent organization
IVY ADVANCED PRACTICE HEALTH, PLLC
Other names
Ivy Advanced Practice Health PLLC, Mind Fit Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
IVY ADVANCED PRACTICE HEALTH, PLLC
Authorized official
IVY GERALYN DE LEON PMHNP-BC, FNP-C (OWNER)
(704) 978-8334
Entity
Organization

Contact information

Practice address
378 WILLIAMSON RD STE 204, MOORESVILLE, NC 28117-5917
(704) 978-8334
(980) 399-2600
Mailing address
103 BILLINSGATE CT, MOORESVILLE, NC 28117-6702
(704) 978-8334
(980) 399-2600

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/24/2024
Last updated
05/14/2026
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