Healthcare Provider Details

I. General information

NPI: 1225991102
Provider Name (Legal Business Name): HAILEY ALEKSA LEVY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ALEKSA LEVY

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3304 SELWYN FARMS LN APT 1
CHARLOTTE NC
28209-5006
US

IV. Provider business mailing address

3304 SELWYN FARMS LN APT 1
CHARLOTTE NC
28209-5006
US

V. Phone/Fax

Practice location:
  • Phone: 919-200-9634
  • Fax:
Mailing address:
  • Phone: 919-200-9634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number314968
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: