Provider Demographics
NPI:1932977352
Name:FOX, STEPHANIE ELIZABETH (APRN)
Entity Type:Individual
Prefix:MRS
First Name:STEPHANIE
Middle Name:ELIZABETH
Last Name:FOX
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MRS
Other - First Name:STEPHANIE
Other - Middle Name:ELIZABETH
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1630 PORTER RD
Mailing Address - Street 2:
Mailing Address - City:ATWATER
Mailing Address - State:OH
Mailing Address - Zip Code:44201-9022
Mailing Address - Country:US
Mailing Address - Phone:330-977-0382
Mailing Address - Fax:
Practice Address - Street 1:901 HALSTEAD BLVD
Practice Address - Street 2:
Practice Address - City:ELIZABETH CITY
Practice Address - State:NC
Practice Address - Zip Code:27909-6920
Practice Address - Country:US
Practice Address - Phone:252-338-0137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-14
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5019428363L00000X, 363LA2100X
OHAPRN.CNP.0035543363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner