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NPI Code Detail

MEDICARE: MRS. HOLLY LUCAS EUBANKS NP

MEDICARE: MRS. HOLLY LUCAS EUBANKS NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse Practitioner5010467NC
2363LF0000XFamily Nurse Practitioner5010467NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1326544289
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. HOLLY LUCAS EUBANKS NP
Provider Business Mailing Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Provider Business Practice Location Address
First Line : 3801 BARRETT DR
Second Line :
City : RALEIGH
State : NC
Zip : 27609-7224
Country : US
Telephone Number : 919-870-8409
Fax Number : 877-622-8953
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2018
Last Update Date : 01/20/2026

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