Provider Demographics
NPI:1811027923
Name:STONE, NANCY L (RN, BSN, MPH)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:L
Last Name:STONE
Suffix:
Gender:F
Credentials:RN, BSN, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 165
Mailing Address - Street 2:3436 S. JEFFERSON ST.
Mailing Address - City:FOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:27829-0165
Mailing Address - Country:US
Mailing Address - Phone:252-902-2318
Mailing Address - Fax:
Practice Address - Street 1:201 GOVERNMENT CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-8198
Practice Address - Country:US
Practice Address - Phone:252-902-2318
Practice Address - Fax:252-413-1446
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC103438163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health