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Licensee Information

Callista Rose Addis - PA-C
0010-11558
Active
No
08/23/2021
06/01/2026

Active Supervisor

NameTypeStatusApprovedInactive
Tucker, Kristi Lanning, MD MD Active 03/26/2025

North Carolina Hospital Admitting Privileges

Location
None Reported

Out of State Active/Inactive Licenses

State
Maryland

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 5/10/2026 3:30:38 PM
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