Provider Demographics
NPI:1457244196
Name:SKEPPSTROM, CAROLINE (DNP-FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:SKEPPSTROM
Suffix:
Gender:F
Credentials:DNP-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1308 CORTLAND RD W
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28209-3526
Mailing Address - Country:US
Mailing Address - Phone:864-313-9527
Mailing Address - Fax:
Practice Address - Street 1:100 W WORTHINGTON AVE STE 106
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28203-6814
Practice Address - Country:US
Practice Address - Phone:980-201-9335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCF05250953363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily