Provider Demographics
NPI:1174221576
Name:STEVENS, TONI ROCHELLE (MSN-FNP)
Entity type:Individual
Prefix:
First Name:TONI
Middle Name:ROCHELLE
Last Name:STEVENS
Suffix:
Gender:F
Credentials:MSN-FNP
Other - Prefix:
Other - First Name:TONI
Other - Middle Name:ROCHELLE
Other - Last Name:YOUNCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2301 US HIGHWAY 74 W
Mailing Address - Street 2:
Mailing Address - City:WADESBORO
Mailing Address - State:NC
Mailing Address - Zip Code:28170-7554
Mailing Address - Country:US
Mailing Address - Phone:704-994-4900
Mailing Address - Fax:704-994-4901
Practice Address - Street 1:2301 US HIGHWAY 74 W
Practice Address - Street 2:
Practice Address - City:WADESBORO
Practice Address - State:NC
Practice Address - Zip Code:28170-7554
Practice Address - Country:US
Practice Address - Phone:704-994-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-16
Last Update Date:2024-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NC5020281363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program