Individual
ALYSSA JARVIS DIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9121 SAM FURR RD STE 108, HUNTERSVILLE, NC 28078-8235
(704) 324-3590
(704) 324-3591
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5010839
NC
363LF0000X
Family Nurse Practitioner
5010839
NC
Other
Enumeration date
08/09/2018
Last updated
10/25/2022
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