Provider Demographics
NPI:1427799493
Name:ALSTON, LENA (MSN APRN AGPCNP-C)
Entity type:Individual
Prefix:
First Name:LENA
Middle Name:
Last Name:ALSTON
Suffix:
Gender:F
Credentials:MSN APRN AGPCNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1185 SUMMERFIELD LN W
Mailing Address - Street 2:
Mailing Address - City:CREEDMOOR
Mailing Address - State:NC
Mailing Address - Zip Code:27522-7211
Mailing Address - Country:US
Mailing Address - Phone:919-885-8375
Mailing Address - Fax:
Practice Address - Street 1:5400 S MIAMI BLVD STE 150
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-0966
Practice Address - Country:US
Practice Address - Phone:919-425-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2025-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCAG07210048363LG0600X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology