MEDICARE: MRS. FELICIA LYNNE LEVINE P.A.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	001000112	NC

General Provider Information

NPI Number	:	1326102187
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. FELICIA LYNNE LEVINE P.A.

Provider Business Mailing Address
First Line	:	4705 UNIVERSITY DR BLDG 700
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27707-3489
Country	:	US
Telephone Number	:	919-237-1337
Fax Number	:	919-237-1625

Provider Business Practice Location Address
First Line	:	7850 BRIER CREEK PKWY # 100
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27617-8900
Country	:	US
Telephone Number	:	919-748-4878
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2006
Last Update Date	:	11/02/2023

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