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Lifesource of North Carolina

Nurse Practitioner in Holland, OH · enumerated 2022 · authorized official Amanda Seymour, Credentialing Specialist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1710620117

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Registry record

Entity type Organization (Type 2)
Legal business name Lifesource of North Carolina
Practice address 1525 Eber Rd, Holland, OH, 43528
Phone (910) 742-9243
Enumeration date Apr 14, 2022
Last updated in NPPES Apr 10, 2024

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary
363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Secondary
363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Amanda Seymour
Title Credentialing Specialist
Phone (910) 794-4521

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lifesource of North Carolina?
NPPES lists Amanda Seymour (Credentialing Specialist) as the authorized official for this organization.
What is the NPI number for Lifesource of North Carolina?
The NPI for Lifesource of North Carolina is 1710620117, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-10.