Provider Demographics
NPI:1104714120
Name:STUMP, NANCY ADAMS (FNP-C)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:ADAMS
Last Name:STUMP
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 1:56 STARDUST RD UNIT 3
Mailing Address - Street 2:
Mailing Address - City:BURNSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28714-6385
Mailing Address - Country:US
Mailing Address - Phone:828-203-8830
Mailing Address - Fax:
Practice Address - Street 1:56 STARDUST RD UNIT 3
Practice Address - Street 2:
Practice Address - City:BURNSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28714-6385
Practice Address - Country:US
Practice Address - Phone:828-203-8830
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-26
Last Update Date:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5022480363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily