Healthcare Provider Details

I. General information

NPI: 1326670670
Provider Name (Legal Business Name): STEPHEN NARIGON PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2020
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date: 09/01/2022
Reactivation Date: 09/16/2022

III. Provider practice location address

144 BOAZ LN
MOUNT AIRY NC
27030-7748
US

IV. Provider business mailing address

PO BOX 6453
MOUNT AIRY NC
27030-6453
US

V. Phone/Fax

Practice location:
  • Phone: 276-221-3791
  • Fax:
Mailing address:
  • Phone: 762-213-7912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number218512
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: