Provider Demographics
NPI:1730723362
Name:DUBICKI, STEFANIE ALEXIS (PA-C)
Entity type:Individual
Prefix:
First Name:STEFANIE
Middle Name:ALEXIS
Last Name:DUBICKI
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7779 NC HIGHWAY 68 N STE 2A
Mailing Address - Street 2:
Mailing Address - City:STOKESDALE
Mailing Address - State:NC
Mailing Address - Zip Code:27357-9496
Mailing Address - Country:US
Mailing Address - Phone:336-660-5290
Mailing Address - Fax:843-724-2440
Practice Address - Street 1:7779 NC HIGHWAY 68 N STE 2A
Practice Address - Street 2:
Practice Address - City:STOKESDALE
Practice Address - State:NC
Practice Address - Zip Code:27357-9496
Practice Address - Country:US
Practice Address - Phone:336-660-5290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5615363A00000X
NC0010-12144363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant