Individual provider · Type 1 NPI
Jerry Boyd Stover, FNP
Family Nurse Practitioner · Fort Bragg, NC
NPI number
1194067306
Active
Practice location
2817 Reilly St
Fort Bragg, NC 28310-7324
Mailing address
47 Laurel Dr
Spring Lake, NC 28390-7375
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 156164 (NC) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194067306
Jerry Boyd Stover, FNP's National Provider Identifier is 1194067306, issued on Mar 26, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fort Bragg, NC. The record was last updated on Mar 26, 2013.