Individual provider · Type 1 NPI
Laura Ann Ivey, PA-C
Medical Physician Assistant · Supply, NC
NPI number
1578848735
Active
Practice location
20 Medical Campus Dr NW Ste 207
Supply, NC 28462-4094
Fax (770) 962-3643
Mailing address
PO Box 96191
Charlotte, NC 28296-6191
Other practice locations
- 2208 S 17th St, Wilmington, NC 28401-7593 · (910) 763-3333
- 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 · (910) 742-9243
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | 0010-03172 (NC) |
| Medical Physician Assistant Primary | 363AM0700X | 0010-03172 (NC) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Supply
About NPI 1578848735
Laura Ann Ivey, PA-C's National Provider Identifier is 1578848735, issued on Oct 19, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Supply, NC. The record was last updated on Sep 16, 2026.