Healthcare Provider Details

I. General information

NPI: 1851238539
Provider Name (Legal Business Name): HEATHER STAMEY DNP/FNP-S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2026
Last Update Date: 05/01/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7166 BARLEYWOOD DR
LOCUST NC
28097-7705
US

IV. Provider business mailing address

7166 BARLEYWOOD DR
LOCUST NC
28097-7705
US

V. Phone/Fax

Practice location:
  • Phone: 704-604-4212
  • Fax:
Mailing address:
  • Phone: 704-604-4212
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LS0200X
TaxonomySchool Nurse Practitioner
License Number1104053
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: