STELLA I WALSON FNP/PMHNP NPI 1952342909

NPI Information

NPI: 1952342909
Provider Name: STELLA I WALSON, FNP/PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: FORSYTH MEMORIAL HOSPITAL INC

PECOS Registration: Yes

Address:
175 KIMEL PARK DR
STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 277-1800
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Stella I Walson, FNP/PMHNP is a psychiatric/mental health nurse practitioner in Winston Salem, NC with 19 years of experience. Stella I Walson, FNP/PMHNP NPI is 1952342909. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

175 KIMEL PARK DR
STE 100
WINSTON SALEM, NC
ZIP 27103-951
Phone: (336) 277-1800
Fax: (336) 277-6981

The NPI 1952342909 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/9/2006 and was last updated on 10/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		5002035	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	0050-02035	NORTH CAROLINA	No
3	363LF0000X	Nurse Practitioner	Family	0024166959	VIRGINIA	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	5002035	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	010286000	MEDICAID	VIRGINIA
2	7003836	MEDICAID	NORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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