Healthcare Provider Details

I. General information

NPI: 1316518004
Provider Name (Legal Business Name): HALEY SHEDD FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: HALEY STEWART

II. Dates (important events)

Enumeration Date: 07/05/2021
Last Update Date: 03/17/2025
Certification Date: 03/17/2025
Deactivation Date: 07/20/2021
Reactivation Date: 07/25/2024

III. Provider practice location address

3701 JOHN PLATT DR
MOREHEAD CITY NC
28557-4372
US

IV. Provider business mailing address

3701 JOHN PLATT DR
MOREHEAD CITY NC
28557-4372
US

V. Phone/Fax

Practice location:
  • Phone: 252-622-4448
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number314714
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5020477
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: