| NPI | 1740061886 |
|---|---|
| Doing Business As | PRODIGY HEALTH & WELLNESS PLLC |
| Entity Type | Organization |
| Authorized Contact | LISA P. BLEVINS Nurse Practitioner 919-793-6483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |