Individual
JULIE LYNN STUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
8304 CREEDMOOR RD., RALEIGH, NC 27613-1697
(919) 870-8409
(877) 622-8953
Mailing address
135 RADCLIFF CIR, DURHAM, NC 27713-2504
(607) 745-9632
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
5014677
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5014677
NC
Other
Enumeration date
07/21/2021
Last updated
02/13/2026
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