Healthcare Provider Details

I. General information

NPI: 1568178952
Provider Name (Legal Business Name): ALAYNA STEBBINS FNP-BC, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/30/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 GLENWOOD AVE
RALEIGH NC
27612-7133
US

IV. Provider business mailing address

PO BOX 602195
CHARLOTTE NC
28260-2195
US

V. Phone/Fax

Practice location:
  • Phone: 315-406-7532
  • Fax:
Mailing address:
  • Phone: 919-350-8991
  • Fax: 919-350-7687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number302723
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5017814
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: