LEESAH WORKMAN BRAGG RN
NPI 1417889163
Registered Nurse - Hospice in Statesville, NC
Active since May 29, 2026
About Leesah Workman Bragg Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LEESAH WORKMAN BRAGG RN (NPI 1417889163) is an individual hospice provider in Statesville, North Carolina, licensed in North Carolina (205026) and active in the NPI registry since May 2026.
NPPES Registry Identity
NPI1417889163
Entity TypeIndividualFemale
Primary Taxonomy163WH1000X
Provider Legal NameLEESAH WORKMAN BRAGGCredential: RN
Location Address811 FERNDALE DRStatesville, NC 28677-3124
Mailing Address811 Ferndale DrStatesville, NC 28677-3124 · (704) 500-9301
Phone(704) 500-9301
Sole ProprietorYes
Enumeration DateMay 29, 2026
NPPES CertifiedMay 29, 2026
✔ NPI 1417889163 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · HospiceNursing Service Providers
Taxonomy Code163WH1000X
License✔ Licensed in NC · 205026
811 FERNDALE DR, Statesville, NC 28677
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1417889163, enumerated as an "individual" on May 29, 2026.
The provider is located at 811 FERNDALE DR STATESVILLE, NC 28677 and the phone number is (704) 500-9301.
Registered Nurse with taxonomy code 163WH1000X and a focus in Hospice.
