MEDICARE: LARISSA DEESE NP-C

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
1	363LA2200X	Adult Health Nurse Practitioner	5011622	NC
2	363LF0000X	Family Nurse Practitioner	5011622	NC
3	363LP2300X	Primary Care Nurse Practitioner	5011622	NC

General Provider Information

NPI Number	:	1629539473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LARISSA DEESE NP-C

Provider Business Mailing Address
First Line	:	229 S MAIN ST STE A
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1621
Country	:	US
Telephone Number	:	910-674-8887
Fax Number	:	910-475-1204

Provider Business Practice Location Address
First Line	:	229 S MAIN ST STE A
Second Line	:
City	:	RED SPRINGS
State	:	NC
Zip	:	28377-1621
Country	:	US
Telephone Number	:	910-674-8887
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	05/13/2026

Similar Medicare Providers

1396771564 — RED SPRINGS FAMILY MEDICINE CLINIC, PA
Practice Location Address:

229 S MAIN ST
RED SPRINGS, NC
28377-1621

Practice Phone: 910-843-9991
Practice Fax: 910-843-9995

1104396258 — BL APOTHECARY
Practice Location Address:

229 S MAIN ST
RED SPRINGS, NC
28377-1621

Practice Phone: 910-359-8009
Practice Fax: 910-227-2397

1003371675 — HEALTHCARE, INC.
Practice Location Address:

239 S MAIN ST
RED SPRINGS, NC
28377-1621

Practice Phone: 910-843-4262
Practice Fax:

1740125632 — NEW JOURNEY FAMILY PRACTICE PLLC
Practice Location Address:

229 S MAIN ST STE A
RED SPRINGS, NC
28377-1621

Practice Phone: 910-674-8887
Practice Fax:

1609861913 — DR. LAWRENCE FRIEMAN M.D.
Practice Location Address:

75 W FRONT ST
RED BANK, NJ
07701-1621

Practice Phone: 732-741-4242
Practice Fax:

1669467536 — BRETT FRIEMAN D.O.
Practice Location Address:

75 W FRONT ST
RED BANK, NJ
07701-1621

Practice Phone: 732-741-4242
Practice Fax:

Directions to “ LARISSA DEESE NP-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.