OrganizationActive
Digital Health Innovation Learning Lab
NPI 1548064819 · Public Health & General Preventive Medicine Physician · Mooresville, NC
Provider details
- NPI number
- 1548064819
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Jeanette Allen, General Manager
Practice location
1519 Mecklenburg Hwy Unit 362
Mooresville, NC 28123-2016
Phone: (989) 708-0349
Mailing address
1519 Mecklenburg Hwy Unit 362
Mooresville, NC 28123-2016
Registry dates
- Enumerated
- 2025-04-03
- Last updated
- 2025-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.