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

Mrs. Alisa Rochelle Craddock, FNP-C

Individual provider Registered Nurse · NPI 1679895296

Mrs. Alisa Rochelle Craddock, FNP-C is a Nurse Practitioner in Clinton, North Carolina. Qualified in 2023, 3 years ago. Practices with Geriatric Consultants PLLC, a 59-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2010
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

906 N US Highway 421
Clinton, NC 28328-0410
Phone: (910) 592-1462
Fax: (910) 808-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 107 N Railroad St, Warsaw, NC 28398-1830 — (910) 590-3006

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F02241056 (NC)
Registered Nurse Taxonomy 163W00000X · Licence 178364 (NC)

Record details

NPI number1679895296
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorYes
NPI enumeratedFebruary 23, 2010
Last updated in NPPESOctober 4, 2024
Certification dateOctober 4, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Geriatric Consultants Pllc — 59 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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