Provider Demographics
NPI:1104391754
Name:STINGONE, TAMMY LEE (FNP)
Entity type:Individual
Prefix:MRS
First Name:TAMMY
Middle Name:LEE
Last Name:STINGONE
Suffix:
Gender:
Credentials:FNP
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:L
Other - Last Name:STONGONE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP
Mailing Address - Street 1:314 SWISS VILLAGE RD
Mailing Address - Street 2:
Mailing Address - City:OTTO
Mailing Address - State:NC
Mailing Address - Zip Code:28763-7058
Mailing Address - Country:US
Mailing Address - Phone:828-215-1059
Mailing Address - Fax:949-695-4292
Practice Address - Street 1:314 SWISS VILLAGE RD
Practice Address - Street 2:
Practice Address - City:OTTO
Practice Address - State:NC
Practice Address - Zip Code:28763-7058
Practice Address - Country:US
Practice Address - Phone:828-215-1059
Practice Address - Fax:949-695-4292
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-10
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5011107363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily