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NPI 1265909253 · live from the CMS NPI Registry

Norah Adeyemi, PA-C

Physician Assistant in Lillington, NC. National Provider Identifier 1265909253, active.

NPI record

NPI1265909253 Type 1 · individual
StatusActive
Primary specialtyPhysician Assistant 363A00000X
Practice location40 Autumn Fern Trl, Lillington, NC 27546
Practice phone910-364-0971
Mailing address21 Oak Ridge Ave Apt 1, Salem, NH 03079
EnumeratedOctober 27, 2018
Last updatedFebruary 11, 2019
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Physician Assistant363A00000XPA6813 (MA)
Physician Assistant primary363A00000X0010-08797 (NC)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.