Lifesource of North Carolina
NPI 1710620117 · Nurse Practitioner · Holland, OH
Lifesource of North Carolina is a Nurse Practitioner organization in Holland, OH (NPI 1710620117).
Provider details
- NPI number
- 1710620117
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Amanda Seymour, Credentialing Specialist(910) 794-4521
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-14
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Frequently asked questions
- What is Lifesource of North Carolina's NPI number?
- Lifesource of North Carolina's National Provider Identifier (NPI) is 1710620117, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lifesource of North Carolina?
- Lifesource of North Carolina is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Lifesource of North Carolina located?
- Lifesource of North Carolina's practice location on file with NPPES is 1525 Eber Rd, Holland, OH 43528-9616.
- What is Lifesource of North Carolina's phone number?
- The practice phone number listed in the NPPES registry for Lifesource of North Carolina is (910) 742-9243.
- Who is the authorized official for Lifesource of North Carolina?
- The authorized official listed on Lifesource of North Carolina's NPPES record is Amanda Seymour, Credentialing Specialist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lifesource of North Carolina's NPI active?
- Yes — Lifesource of North Carolina's NPI (1710620117) is active in the NPPES registry as of the last update on 2024-04-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.