Provider Demographics
NPI:1508539792
Name:BELLISSIMO, MICHELLE SUTTON (APRN FNP-BC FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:SUTTON
Last Name:BELLISSIMO
Suffix:
Gender:F
Credentials:APRN FNP-BC FNP-C
Other - Prefix:
Other - First Name:MICHELLE
Other - Middle Name:SUTTON
Other - Last Name:BELLISSIMO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN FNP-BC FNP-C
Mailing Address - Street 1:13440 NC 210 HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:NC
Mailing Address - Zip Code:27504-7225
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13440 NC 210 HIGHWAY
Practice Address - Street 2:
Practice Address - City:BENSON
Practice Address - State:NC
Practice Address - Zip Code:27504-7225
Practice Address - Country:US
Practice Address - Phone:919-207-3086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-26
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014778363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily