Healthcare Provider Details

I. General information

NPI: 1902918188
Provider Name (Legal Business Name): WENDY JEAN STEVISON PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 ARRINGDON PARK DR STE 300
MORRISVILLE NC
27560-5677
US

IV. Provider business mailing address

900 MAROUBRA LOOP APT 8308
CARY NC
27513-8851
US

V. Phone/Fax

Practice location:
  • Phone: 919-660-5066
  • Fax: 919-660-5044
Mailing address:
  • Phone: 813-731-9006
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-09916
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA9107058
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: