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NPI Code Detail

MEDICARE: ALYSSA ENGLISH HEAD PHYSICIAN ASSISTANT

MEDICARE:   ALYSSA ENGLISH HEAD  PHYSICIAN ASSISTANT
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
1363A00000XPhysician Assistant0010-12417NC

General Provider Information

NPI Number : 1720713472
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALYSSA ENGLISH HEAD PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 222 GIANT OAK AVE
Second Line :
City : STATESVILLE
State : NC
Zip : 28677-8746
Country : US
Telephone Number : 704-770-5378
Fax Number :
Provider Business Practice Location Address
First Line : 293 OLD MOCKSVILLE RD
Second Line :
City : STATESVILLE
State : NC
Zip : 28625-1930
Country : US
Telephone Number : 704-872-8711
Fax Number : 704-872-8711
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2022
Last Update Date : 01/13/2026

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Directions to “ ALYSSA ENGLISH HEAD PHYSICIAN ASSISTANT” Practice Location

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