Healthcare Provider Details

I. General information

NPI: 1437847365
Provider Name (Legal Business Name): ALICIA NOELLE LEE FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2023
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 LAMBERT ROAD
BISCOE NC
27209
US

IV. Provider business mailing address

214 WOODBINE WAY
CARTHAGE NC
28327-6896
US

V. Phone/Fax

Practice location:
  • Phone: 571-397-9231
  • Fax:
Mailing address:
  • Phone: 571-397-9231
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024186933
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023217
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: