Healthcare Provider Details

I. General information

NPI: 1437085248
Provider Name (Legal Business Name): ALLISON FRAZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2026
Last Update Date: 06/19/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2544 NC 118 GRIFTON NC 28530
GRIFTON NC
28530
US

IV. Provider business mailing address

2544 NC 118 GRIFTON NC 28530
GRIFTON NC
28530
US

V. Phone/Fax

Practice location:
  • Phone: 919-853-5355
  • Fax: 919-853-5355
Mailing address:
  • Phone: 919-853-5355
  • Fax: 919-853-5355

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number288346
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: