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General NPI Number Information
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NPI Number | 1023406329
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Entity Type | Individual
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Provider Name | CHRISTINA L STEVENSON DNP, ANP-C,FNP-C, P
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Gender | Female
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Dates
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Enumeration Date | 01/08/2015
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 1890 S. MAIN STREET SUITES 102E, 102C
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City | WAKEFOREST
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State | NC
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Zip | 27587
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Country | US
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Telephone | 919-899-0759
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Fax | 919-321-1706
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Provider Business Mailing Address
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Address Line | 5540 CENTERVIEW DR STE 200 STE 200
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City | RALEIGH
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State | NC
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Zip | 27606
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Country | US
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Telephone | 919-899-0759
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Fax | 915-321-1706
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5007400
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | AC002915
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5853
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License Number State | MN
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5853
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5007400
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024181480
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License Number State | VA
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Taxonomy #7
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 5007400
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License Number State | NC
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