Individual provider · Type 1 NPI
Stacie Gurganus Foutty
Nurse Practitioner · Wilmington, NC
Practice location
8911 Shipwatch Dr
Wilmington, NC 28412-3537
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5023013 (NC) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1447130992
Stacie Gurganus Foutty's National Provider Identifier is 1447130992, issued on Sep 4, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Sep 4, 2025.