Blevins, Lisa Patrice

Blevins, Lisa Patrice is an sole proprietor health care provider with primary practice located at 7850 Brier Creek Pkwy Ste 220 , Raleigh NC 27617-8900. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Blevins, Lisa Patrice can be contacted via phone (919) 578-7008.

Contact Information

Primary practice address
7850 Brier Creek Pkwy Ste 220 Raleigh NC 27617-8900
Phone: (919) 578-7008
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 5003510 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 144763 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5003510 North Carolina

Profile Details

NPI number 1073707311
LBN Legal business name Blevins, Lisa Patrice
Credentials APRN-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 29th, 2007
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073707311 NPPES
North Carolina Other 1073707311 INDIVIDUAL TAX INDENTIFICATION

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