Organization · NPI-2

Healthapp 365 PLLC

Nurse Practitioner, Primary Care · Charlotte, NC

NPI number1609786862
StatusActive
Last updated in NPPESSep 10, 2026

Details

NPI
1609786862
Entity type
Organization (NPI-2)
Legal business name
Healthapp 365 PLLC
Organization subpart
No
Enumeration date
Sep 10, 2026
Certification date
Sep 9, 2026
Last updated
Sep 10, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363LP2300X Nurse Practitioner, Primary Care––Yes
101YA0400X Counselor, Addiction (Substance Use Disorder)––
101YM0800X Counselor, Mental Health––
1041C0700X Social Worker, Clinical––
163WG0000X Registered Nurse, General Practice––
251B00000X Case Management––
363LC1500X Nurse Practitioner, Community Health––
363LF0000X Nurse Practitioner, Family––
363LW0102X Nurse Practitioner, Women's Health––

Practice location

3902 W Tyvola Rd
Charlotte, NC 28208

Phone 888-703-6520 · Fax 888-971-3681

Mailing address

1235 East Blvd Ste E
Charlotte, NC 28203-5876

Phone 864-200-7203 · Fax 888-971-3681

Authorized official

Lakeina Shelton
Fnp
8642007203

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