Doctor Name: | MS. CHRISTINA LANETTE STEVENSON |
NPI Number: | 1023406329 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | FNP-C, ANP-C |
License Number: | 254418 |
Business Practice Address: | 700 Morrow Ave Pineville, NC - 281346528 |
Business Phone Number: | 9195923608 |
Business Fax Number: | 9198359613 |
Mailing Address: | 1120 Lombar St, RALEIGH |
State: | NC |
Postal Code: | 276106499 |
Phone Number: | 7048062156 |
Fax Number: | |
NPI Enumeration Date: | 01/08/2015 |
NPI Last Update Date: | 01/12/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP2300X |
License Number: | 254418 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |