Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Stonewall Fellowship Church

Organization Critical Care Pediatric Nurse Practitioner · NPI 1134088172

Stonewall Fellowship Church is a Critical Care Pediatric Nurse Practitioner in Nacogdoches, Texas. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

1303 S University Dr
Nacogdoches, TX 75961
Phone: (936) 219-4611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Critical Care Pediatric Nurse Practitioner (primary) Taxonomy 363LP0222X

Record details

NPI number1134088172
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Desmond Tolbert — Owner · (936) 219-4611
NPI enumeratedJanuary 16, 2026
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 13, 2026
Mailing address1303 South University Dr, Nacogdoches, TX 75961