Healthcare Provider Details

I. General information

NPI: 1689074072
Provider Name (Legal Business Name): STEPHANIE M GARNER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/04/2014
Last Update Date: 01/20/2026
Certification Date: 01/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 PAGE RD
PINEHURST NC
28374-8749
US

IV. Provider business mailing address

205 PAGE RD
PINEHURST NC
28374-8749
US

V. Phone/Fax

Practice location:
  • Phone: 910-295-5511
  • Fax: 910-235-3428
Mailing address:
  • Phone: 910-295-5511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5007110
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: