Provider Demographics
NPI:1265214324
Name:MERRITT, STEPHANIE LINETTE (FNP-C)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LINETTE
Last Name:MERRITT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1226 PINE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28655-8507
Mailing Address - Country:US
Mailing Address - Phone:828-781-7516
Mailing Address - Fax:
Practice Address - Street 1:319 SPRINGWOOD DR NE
Practice Address - Street 2:
Practice Address - City:VALDESE
Practice Address - State:NC
Practice Address - Zip Code:28690-8710
Practice Address - Country:US
Practice Address - Phone:828-879-8419
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-13
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019005363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily