NPI Code Detail JSON Logo

1023406329 NPI number — CHRISTINA L STEVENSON DNP, ANP-C,FNP-C, P

NPI Number: 1023406329
Health Care Provider/Practitioner: CHRISTINA L STEVENSON DNP, ANP-C,FNP-C, P

Information about “1023406329” NPI (CHRISTINA L STEVENSON DNP, ANP-C,FNP-C, P) exists in 1023406329 in HTML format HTML  |  1023406329 in plain Text format TXT  |  1023406329 in PDF (Portable Document Format) PDF  |  1023406329 in an XML format XML  formats.

NPI Number : 1023406329 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023406329",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "STEVENSON",
    "FirstName": "CHRISTINA",
    "MiddleName": "L",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DNP, ANP-C,FNP-C, P",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5540 CENTERVIEW DR STE 200",
    "SecondLineMailingAddress": "STE 200",
    "MailingAddressCityName": "RALEIGH",
    "MailingAddressStateName": "NC",
    "MailingAddressPostalCode": "27606",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "919-899-0759",
    "MailingAddressFaxNumber": "915-321-1706",
    "FirstLinePracticeLocationAddress": "1890 S. MAIN STREET",
    "SecondLinePracticeLocationAddress": "SUITES 102E, 102C",
    "PracticeLocationAddressCityName": "WAKEFOREST",
    "PracticeLocationAddressStateName": "NC",
    "PracticeLocationAddressPostalCode": "27587",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "919-899-0759",
    "PracticeLocationAddressFaxNumber": "919-321-1706",
    "EnumerationDate": "01/08/2015",
    "LastUpdateDate": "02/23/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "5007400",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "AC002915",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LA2200X",
          "TaxonomyName": "Adult Health Nurse Practitioner",
          "LicenseNumber": "5853",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5853",
          "LicenseNumberStateCode": "MN",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "5007400",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LF0000X",
          "TaxonomyName": "Family Nurse Practitioner",
          "LicenseNumber": "0024181480",
          "LicenseNumberStateCode": "VA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "363LP0808X",
          "TaxonomyName": "Psychiatric/Mental Health Nurse Practitioner",
          "LicenseNumber": "5007400",
          "LicenseNumberStateCode": "NC",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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