Healthcare Provider Details

I. General information

NPI: 1366231300
Provider Name (Legal Business Name): ALLISON DANIELLE STEWART FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MRS. ALLISON DANIELLE ADAMS

II. Dates (important events)

Enumeration Date: 05/05/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 GREG ST 503/504
SPARKS NV
89431-5989
US

IV. Provider business mailing address

10440 MOTT CT
RENO NV
89521-3181
US

V. Phone/Fax

Practice location:
  • Phone: 915-996-4851
  • Fax: 702-837-1913
Mailing address:
  • Phone: 775-247-7862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number886859
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: