Healthcare Provider Details

I. General information

NPI: 1548186513
Provider Name (Legal Business Name): STEPHANIE HOGGARD COMPTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5720 CREEDMOOR RD STE 101
RALEIGH NC
27612-2382
US

IV. Provider business mailing address

5720 CREEDMOOR RD STE 101
RALEIGH NC
27612-2382
US

V. Phone/Fax

Practice location:
  • Phone: 919-342-1413
  • Fax: 919-443-1495
Mailing address:
  • Phone: 919-342-1413
  • Fax: 919-443-1495

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024753
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: