Individual
MRS. STEPHANIE EILEEN MASON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3024 NEW BERN AVE, RALEIGH, NC 27610-1247
(919) 350-5318
Mailing address
PO BOX 603949, CHARLOTTE, NC 28260-3949
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-02085
NC
363AM0700X
Medical Physician Assistant
Primary
0010-02085
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169F8
BC/BS
NC
05
—
1952495475
—
NC
Enumeration date
10/02/2006
Last updated
11/03/2025
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