Tori Shaye Stephens, | |
4117 Oleander Dr, Wilmington, NC 28403-6821 | |
(910) 202-6988 | |
Not Available |
Full Name | Tori Shaye Stephens |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 4117 Oleander Dr, Wilmington, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043089626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 34609 (Tennessee) | Secondary |
363L00000X | Nurse Practitioner | 5019302 (North Carolina) | Primary |
Entity Name | Mainstreet And Kidsstreet Of North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144803040 PECOS PAC ID: 6901290238 Enrollment ID: O20220302000414 |
Mailing Address | Practice Location Address |
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Tori Shaye Stephens, 1500 1st Ave N Unit 3, Birmingham, AL 35203-1866 Ph: () - | Tori Shaye Stephens, 4117 Oleander Dr, Wilmington, NC 28403-6821 Ph: (910) 202-6988 |
Travis Aaron Finkle, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2909 Market St, Wilmington, NC 28403 Phone: 910-687-4888 | |
Carolyn Jones, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Valerie Lynn Wegener, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8108b Market St, Wilmington, NC 28411 Phone: 910-341-3300 Fax: 910-251-2067 | |
Nannette B Martin, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-772-9202 Fax: 910-772-9452 | |
Elizabeth Granger, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2131 S 17th St, Wilmington, NC 28401 Phone: 910-667-2970 | |
Kelly B Miller, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2334 41st St, Wilmington, NC 28403 Phone: 910-641-4095 | |
Todd Alan Stugart, MSN, APRN, BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2311 Delaney Ave, Wilmington, NC 28403 Phone: 910-762-8754 Fax: 910-762-0778 |