Provider Demographics
NPI:1164759585
Name:KNOX, STEPHANIE (ARNP, FNP-C)
Entity Type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:
Last Name:KNOX
Suffix:
Gender:F
Credentials:ARNP, FNP-C
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:NORMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ARNP, FNP-C
Mailing Address - Street 1:8120 FENTON ST
Mailing Address - Street 2:SUITE 202L
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4796
Mailing Address - Country:US
Mailing Address - Phone:202-681-4649
Mailing Address - Fax:
Practice Address - Street 1:8120 FENTON ST
Practice Address - Street 2:SUITE 202L
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4796
Practice Address - Country:US
Practice Address - Phone:202-681-4649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-05
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN225137363LF0000X
DCRN1038350363LF0000X
MDR174817363LF0000X, 163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant