| Doctor Name: | MRS. CHRYSTIE LEE STOWE |
| NPI Number: | 1053680892 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 5005454 |
| Business Practice Address: | 109 W River St Colerain, NC - 279249006 |
| Business Phone Number: | 2523562404 |
| Business Fax Number: | 2523562899 |
| Mailing Address: | 109 West River St., COLERAIN |
| State: | NC |
| Postal Code: | 27924 |
| Phone Number: | 2523562404 |
| Fax Number: | 2523562899 |
| NPI Enumeration Date: | 12/23/2011 |
| NPI Last Update Date: | 11/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 5005454 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |