person
Mctisa Michelle Lane, FNP
Family Nurse Practitioner in Fort Liberty, North Carolina
NPI 1669756177

Mctisa Michelle Lane is a Family Nurse Practitioner based in Fort Liberty, NC and is specialized in Family. Mctisa Michelle Lane practices in Fort Liberty, NC and has the professional credentials of FNP. The NPI Number for Mctisa Michelle Lane is 1669756177 and holds a License No. 5005342 (North Carolina).

The current practice location address for Mctisa Michelle Lane is 2817 Reilly St, Fort Liberty, NC and can be reached out via phone at 910-907-2575 and via fax at 910-907-9606.

Location: 2817 Reilly St, Fort Liberty, NC, 28310-8862
person
Provider Profile Details
NPI Number
1669756177
Provider Name
Mctisa Michelle Lane
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
2817 Reilly St, Fort Liberty, NC, 28310-8862
Phone Number
910-907-2575
Fax Number
910-907-9606
Provider Enumeration Date
10/03/2011
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
2817 Reilly St
City
State
Zip
28310-4056
Phone Number
910-907-2575
Fax Number
910-907-9606
person
Provider Business Mailing Address Details
Address
2817 Reilly St
City
State
Zip
28310-4056
Phone Number
910-907-2575
Fax Number
910-907-9606
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
5005342 (North Carolina)
Definition
Definition to come...
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