NPI 1548064819 · live from the CMS NPI Registry
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Preventive Medicine, Public Health & General Preventive Medicine in Mooresville, NC. National Provider Identifier 1548064819, active.
NPI record
| NPI | 1548064819 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Preventive Medicine, Public Health & General Preventive Medicine 2083P0901X |
| Practice location | 1519 Mecklenburg Hwy Unit 362, Mooresville, NC 28123 |
| Practice phone | 989-708-0349 |
| Enumerated | April 3, 2025 |
| Last updated | April 4, 2025 |
| Authorized official | Jeanette Allen, General Manager |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | — |
| Counselor, School | 101YS0200X | — |
| Social Worker, Clinical | 1041C0700X | — |
| Social Worker, School | 1041S0200X | — |
| Dentist, Dental Public Health | 1223D0001X | — |
| Dental Hygienist | 124Q00000X | — |
| Registered Nurse, Community Health | 163WC1500X | — |
| Registered Nurse, General Practice | 163WG0000X | — |
| Licensed Practical Nurse | 164W00000X | — |
| Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist | 1835P0018X | — |
| Family Medicine, Adolescent Medicine | 207QA0000X | — |
| Family Medicine, Adult Medicine | 207QA0505X | — |
| Preventive Medicine, Public Health & General Preventive Medicine primary | 2083P0901X | — |
| Nurse Practitioner, Community Health | 363LC1500X | — |
| Clinical Nurse Specialist, Community Health/Public Health | 364SC1501X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.