Healthcare Provider Details

I. General information

NPI: 1538615265
Provider Name (Legal Business Name): STEPHANIE WEBB PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2016
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 GARNER RD
RALEIGH NC
27610-0114
US

IV. Provider business mailing address

3125 POPLARWOOD CT STE 203
RALEIGH NC
27604-6445
US

V. Phone/Fax

Practice location:
  • Phone: 919-787-6131
  • Fax: 919-571-2932
Mailing address:
  • Phone: 919-787-6131
  • Fax: 919-571-2932

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number5008772
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: