Organization Name: | STOKESDALE FAMILY CARE, PC |
NPI Number: | 1548432404 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JANICE DEBELL DANIEL (FNP/OWNER) |
Mailing Address: | 8302-b Belews Creek Rd Stokesdale |
State: | NC US |
Postal Code: | 273579203 |
Phone Number: | 3366440781 |
Fax Number: | |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 01/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 201192 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |