Healthcare Provider Details

I. General information

NPI: 1679488126
Provider Name (Legal Business Name): COURTNEY PAIGE STEWART MSN, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. COURTNEY PAIGE TULL

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12145 ELM ST
PRINCESS ANNE MD
21853-1358
US

IV. Provider business mailing address

PO BOX 1978
SALISBURY MD
21802-1978
US

V. Phone/Fax

Practice location:
  • Phone: 410-651-2204
  • Fax: 410-651-0790
Mailing address:
  • Phone: 410-749-1015
  • Fax: 410-749-0654

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR227441
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: