Organization · Type 2 NPI

Lifesource of North Carolina

Nurse Practitioner · Holland, OH

NPI number 1710620117 Active

Practice location

1525 Eber Rd
Holland, OH 43528-9616

Call (910) 742-9243 Map

Mailing address

PO Box 538622
Atlanta, GA 30353-8622

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician	2084P0800X	None listed
Physician Assistant	363A00000X	None listed
Nurse Practitioner Primary	363L00000X	None listed
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	None listed

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

10 other providers at this address

About NPI 1710620117

Lifesource of North Carolina's National Provider Identifier is 1710620117, issued on Apr 14, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Holland, OH. The record was last updated on Apr 10, 2024.