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General NPI Number Information
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NPI Number | 1720753759
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Entity Type | Individual
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Provider Name | KIRSTEN LEIGH STEPHENSON FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1000 BRABHAM AVE
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City | JACKSONVILLE
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State | NC
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Zip | 28546-5003
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Country | US
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Telephone | 910-341-3300
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Fax |
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Provider Business Mailing Address
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Address Line | 1057D CEDAR POINT BLVD
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City | CEDAR POINT
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State | NC
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Zip | 28584-8020
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Country | US
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Telephone | 252-764-2121
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Fax |
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5014897
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | STEP-EX3X8
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License Number State | NC
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