Provider Demographics
NPI:1003413543
Name:DUPAY, ALLYSON PAIGE (PA-C)
Entity Type:Individual
Prefix:
First Name:ALLYSON
Middle Name:PAIGE
Last Name:DUPAY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALLYSON
Other - Middle Name:PAIGE
Other - Last Name:DUPAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:2420 LANDMARK DRIVE APT 215
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607
Mailing Address - Country:US
Mailing Address - Phone:704-909-1126
Mailing Address - Fax:
Practice Address - Street 1:1840 M.L.K. JR BLVD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-9444
Practice Address - Country:US
Practice Address - Phone:984-272-2422
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X, 390200000X
NC0010-12210363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0010-12210OtherMEDICAL LICENSE