Healthcare Provider Details

I. General information

NPI: 1578281705
Provider Name (Legal Business Name): LUCIANA BOOTH STEWART FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LUCIANA B STEWART LUCIANA STEWART, FNP

II. Dates (important events)

Enumeration Date: 08/15/2022
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 HEALTH PARK DR STE 100
GARNER NC
27529-6933
US

IV. Provider business mailing address

5221 PARAMOUNT PKWY STE 220
MORRISVILLE NC
27560-5490
US

V. Phone/Fax

Practice location:
  • Phone: 984-215-5030
  • Fax:
Mailing address:
  • Phone: 984-215-4111
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberHC6675
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5018999
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: