Healthcare Provider Details

I. General information

NPI: 1700719929
Provider Name (Legal Business Name): VALERIE BLAIR FNP-C
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CABARRUS AVE E STE 200
CONCORD NC
28025-3781
US

IV. Provider business mailing address

517 WESTOVER DR
HIGH POINT NC
27265-2837
US

V. Phone/Fax

Practice location:
  • Phone: 919-932-5700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5024666
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: