MRS. CANDICE SHERESE STALLWORTH (NPI# 1558994491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558994491 |
| Entity Type | Individual |
| Full Name | MRS. CANDICE SHERESE STALLWORTH |
| Credential | MSN, PMHNP-BC |
| Practice Address |
2301 Medpark Dr Rocky Mount NC 27804-2288 |
| Practice Telephone | 2529625410 |
| Mailing Telephone | 2529625410 |
| Enumeration Date | 2020-02-19 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
232478 | NC | Nursing Service Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
5013060 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2301 MEDPARK DR |
| City | ROCKY MOUNT |
| State | NC |
| Zip Code | 27804-2288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184697716 | Vickie Corbett Ripley | Pharmacist | 2301 Medpark Dr, Coastal Plain Hospital, Rocky Mount, NC 27804-2288 | 2006-02-13 |
| 1609338797 | Nhcs Physicians Inc | Psychiatry & Neurology | 2301 Medpark Dr, Rocky Mount, NC 27804-2288 | 2019-04-05 |
| 1235432485 | Nash Mso, Inc. | Psychiatry & Neurology | 2301 Medpark Dr, Rocky Mount, NC 27804-2288 | 2010-12-09 |
| 1972722668 | Tracy White Ethridge | Counselor | 2301 Medpark Dr, Rocky Mount, NC 27804-2288 | 2007-04-24 |
| 1497888960 | James Bell Ward | Counselor | 2301 Medpark Dr, Rocky Mount, NC 27804-2288 | 2007-03-14 |
| 1417905589 | Nash Hospitals Inc | Psychiatric Unit | 2301 Medpark Dr, Rocky Mount, NC 27804-2288 | 2006-05-04 |
| 1487612545 | Carolyn C Mosley | Marriage & Family Therapist | 2301 Medpark Dr, Rocky Mount, NC 27804-2288 | 2006-05-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992288419 | Aubrey Kuester | Physical Therapist | Hunter Hills Nursing and Rehab, 7369 Hunter Hill Rd, Rocky Mount, NC 27804 | 2018-09-11 |
| 1134636475 | New Beginning Family Services of Nc | Clinic/Center | 600 Tiffany Blvd Ste H, Rocky Mount, NC 27804 | 2018-01-09 |
| 1033640776 | Simply Frazier Beauty Salon | Specialist | 1141 Jeffreys Rd, Rocky Mount, NC 27804 | 2017-03-24 |
| 1164961942 | Family Care Partners of North Carolina, Pllc | Internal Medicine | 1041 Noel Ln. Ste 105, Rocky Mt., NC 27804 | 2017-02-14 |
| 1164834867 | Ward Specialty Pharmacy LLC | Pharmacy | 3646 Sunset Ave, Suite 110 Barkley Square, Rocky Mount, NC 27804 | 2014-05-29 |
| 1891107678 | Patrick Ignacio | Pharmacist | 3646 Sunset Ave., Suite 110, Rocky Mount, NC 27804 | 2014-05-28 |
| 1023437795 | Down East Hearing | Hearing Aid Equipment | 1356 Benvenue Rd., Rocky Mount, NC 27804 | 2014-04-10 |
| 1659710416 | Sterling House of Rocky Mount | Assisted Living Facility | 650 Goldrock Road, Sterling House of Rocky Mount, Rocky Mount, NC 27804 | 2013-06-14 |
| 1700223609 | Keenya Anderson Staten | Nurse Practitioner | 1701 Sunset Ave Ste 105c, Rocky Mount, NC 27804 | 2013-05-31 |
| 1578844528 | Nathan Thomas Long | Pharmacist | 300 N Grace St Ste 150, Rocky Mount, NC 27804 | 2011-09-05 |
| Find all providers in zip 27804 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871101774 | Adrienne Louise Emery-ramirez | Nurse Practitioner | 132 Foy Dr, Rocky Mount, NC 27804-2417 | 2020-07-16 |
| 1184963704 | Michelle D Highsmith | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2013-02-01 |
| 1750656120 | Cherity Gurganus | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2012-03-17 |
| 1023301124 | Thalia N Williams | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2011-05-23 |
| 1942503834 | Wanda Hilliard | Nurse Practitioner | 30 Technology Dr, Rocky Mount, VA 24151-3008 | 2010-12-14 |
| 1871722058 | Valerie Northrup | Nurse Practitioner | 90 Guardian Ct, Rocky Mount, NC 27804-3017 | 2009-07-08 |
| 1063664274 | Matthew Parker Padgett | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2008-10-21 |
| 1164672382 | Tereon Nachon Adams | Nurse Practitioner | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 | 2008-09-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235730078 | Leetisha Lawana Dunia | Nurse Practitioner | 538 Wood Point Dr, Lillington, NC 27546-5971 | 2020-11-06 |
| 1881292134 | Jurell Kirice Riley | Nurse Practitioner | 6301 Dumont Ln, Charlotte, NC 28269-6147 | 2020-10-09 |
| 1336756899 | Jennifer Danks | Nurse Practitioner | 1845 Keener Rd, Clinton, NC 28328-8039 | 2020-09-29 |
| 1376159400 | Ronald Jerome Patterson Jr. | Nurse Practitioner | 4204 Banks Stone Dr, Raleigh, NC 27603-4860 | 2020-09-23 |
| 1902411499 | Solari Mental and Behavioral Health Services | Nurse Practitioner | 11206 Highcrest Dr, Huntersville, NC 28078-0610 | 2020-09-10 |
| 1699389684 | Lasting Hope - Mental Health & Recovery | Nurse Practitioner | 131 Fiddlers Run Blvd, Morganton, NC 28655-0095 | 2020-09-07 |
| 1588277727 | Alison Stroh | Nurse Practitioner | 1313 Banyon Grove Loop, Cary, NC 27513-3936 | 2020-08-27 |
| 1902417488 | Erin Klender Pllc | Nurse Practitioner | 12106 Willingdon Rd, Huntersville, NC 28078-5520 | 2020-08-10 |
| 1407466824 | Theresa Uju Ofoemezie | Nurse Practitioner | 250 S San Agustin Dr, Mooresville, NC 28117-8581 | 2020-08-01 |
| 1669090213 | Rashonda R. Wheeler | Nurse Practitioner | 8949 Cinnabay Dr, Charlotte, NC 28216-2189 | 2020-07-10 |
| Find all providers with the same taxonomy | ||||
| City | ROCKY MOUNT |
| Zip Code | 27804 |
Please comment or provide details below to improve the information on MRS. CANDICE SHERESE STALLWORTH.
| 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.