Individual
ALEBRA LEE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1709 S 16TH ST STE A, WILMINGTON, NC 28401-6491
(910) 452-8633
(910) 452-8569
Mailing address
PO BOX 15109, WILMINGTON, NC 28408-5109
(910) 392-2525
(910) 392-2827
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
UP002037C
PA
363LA2200X
Adult Health Nurse Practitioner
Primary
267483
NC
363LA2200X
Adult Health Nurse Practitioner
R879343
MS
363LP2300X
Primary Care Nurse Practitioner
R879343
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952563249
—
NC
Enumeration date
06/27/2008
Last updated
02/05/2020
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