Provider Demographics
NPI:1891381752
Name:BETTIS, LAUREN HELMS (FNP)
Entity Type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:HELMS
Last Name:BETTIS
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MARIE
Other - Last Name:HELMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2206 ENGLEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-3031
Mailing Address - Country:US
Mailing Address - Phone:704-305-6004
Mailing Address - Fax:
Practice Address - Street 1:316 W MAIN ST
Practice Address - Street 2:
Practice Address - City:ROCKWELL
Practice Address - State:NC
Practice Address - Zip Code:28138-8471
Practice Address - Country:US
Practice Address - Phone:704-279-1046
Practice Address - Fax:704-279-1603
Is Sole Proprietor?:No
Enumeration Date:2020-12-15
Last Update Date:2022-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC06200405363LP2300X
NC5013890363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care