MINTORIA LYNETTE STOCKTON


Address: 8332 Mcguire Dr, Raleigh, NC 27616-5682
Phone: 7579023095

MINTORIA LYNETTE STOCKTON (NPI# 1316561178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316561178
Entity Type Individual
Full Name MINTORIA LYNETTE STOCKTON
Credential APRN, FNP-C
Practice Address 8332 Mcguire Dr
Raleigh
NC 27616-5682
Practice Telephone 7579023095
Mailing Telephone 7579023095
Enumeration Date 2020-06-07
Last Update Date 2020-06-07
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
STOC-V1J39 NC Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 8332 MCGUIRE DR
City RALEIGH
State NC
Zip Code 27616-5682

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1811456320 Elizabeth Campbell Mcgrath Nurse Practitioner 2615 Lake Dr Ste 201, Raleigh, NC 27607-6694 2019-03-14
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Competitor

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City RALEIGH
Zip Code 27616

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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