Craddock, Alisa Rochelle

Craddock, Alisa Rochelle is an sole proprietor health care provider with primary practice located at 906 N Us Highway 421 , Clinton NC 28328-0410. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Craddock, Alisa Rochelle can be contacted via phone (910) 592-1462.

Contact Information

Primary practice address
906 N Us Highway 421 Clinton NC 28328-0410
Fax: (910) 808-1040
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 178364 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F02241056 North Carolina

Profile Details

NPI number 1679895296
LBN Legal business name Craddock, Alisa Rochelle
Credentials FNP-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 23rd, 2010
Last updated Oct 4th, 2024 - about 2 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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