Individual
STACEY L. CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1831 N FAYETTEVILLE ST, ASHEBORO, NC 27203-3273
(336) 672-1300
(336) 672-3044
Mailing address
200 E 2ND AVE, GASTONIA, NC 28052-4358
(704) 874-1904
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5015647
NC
363LG0600X
Gerontology Nurse Practitioner
5015647
NC
Other
Enumeration date
11/05/2013
Last updated
11/03/2025
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