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

Mrs. Lisa Northcott Stover

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1063234284

Mrs. Lisa Northcott Stover is a Nurse Practitioner in Eden, North Carolina. Qualified in 2024, 2 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024

Practice location Address checks out

247 Country Club Dr
Eden, NC 27288-3554
Phone: (919) 883-8106
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence STOV-701LN (NC)

Record details

NPI number1063234284
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 29, 2024
Last updated in NPPESOctober 29, 2024
Certification dateOctober 29, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare