Healthcare Provider Details

I. General information

NPI: 1609748805
Provider Name (Legal Business Name): MICHELLE ALYSHA FLETCHER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2025
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13304 LEESVILLE CHURCH RD
RALEIGH NC
27617-5206
US

IV. Provider business mailing address

13304 LEESVILLE CHURCH RD
RALEIGH NC
27617-5206
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5023107
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: