Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Prodigy Health and Wellness PLLC

Organization Primary Care Nurse Practitioner · NPI 1740061886

Prodigy Health and Wellness PLLC provides Primary Care Nurse Practitioner services in Raleigh, North Carolina. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4000 Wake Forest Rd
Raleigh, NC 27609-6879
Phone: (919) 793-6483
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X

Record details

NPI number1740061886
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Blevins — Nurse Practitioner · (919) 793-6483
Other names Prodigy Health & Wellness Pllc
NPI enumeratedOctober 12, 2023
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing addressPo Box 376, Knightdale, NC 27545-0376

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