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

Evan Blake Deboard

Individual provider Pediatric Nurse Practitioner · NPI 1528725546

Evan Blake Deboard is a Pediatric Nurse Practitioner in Granite Falls, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2021

Practice location Address checks out

4355 Hickory Blvd Ste 2
Granite Falls, NC 28630-2014
Phone: (828) 757-5050
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4355 Hickory Blvd Ste 3, Granite Falls, NC 28630-2014 — (828) 757-5040

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence DEBO-F0JH8 (NC)

Record details

NPI number1528725546
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedNovember 24, 2021
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address329 Glen Echo Ln Apt D, Cary, NC 27518-9634

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