Stonewall Fellowship Church

Organization Active
NPI 1134088172
Critical Care Pediatric Nurse Practitioner Nacogdoches, TX

NPI 1134088172 belongs to Stonewall Fellowship Church, a critical care pediatric nurse practitioner with a practice location in Nacogdoches, TX. The NPI was issued on January 16, 2026, and the record was last updated in NPPES on January 16, 2026.

Taxonomies and licenses

TaxonomyCodeLicense
Critical Care Pediatric Nurse Practitioner Primary 363LP0222X Not listed

Practice location

1303 South University Dr
Nacogdoches, TX 75961
Phone: (936) 219-4611

Local context

Active NPPES records list 1 provider with critical care pediatric nurse practitioner as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 181 in Texas and 1,209 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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