Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prodigy Health and Wellness PLLC

Organization Primary Care Nurse Practitioner · NPI 1740061886

Prodigy Health and Wellness PLLC is a Primary Care Nurse Practitioner 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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