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

Mrs. Stacy Johnson Gambill, FNP

Individual provider Family Nurse Practitioner · NPI 1457436008

Mrs. Stacy Johnson Gambill, FNP is a Nurse Practitioner in Jefferson, North Carolina. Qualified in 2005, 21 years ago. Practices with Eventus Premier Healthcare LLC, a 107-clinician group and works from 4 locations. Licensed in North Carolina and Virginia.

Years since qualifying
21
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

413 McConnell St
Jefferson, NC 28640-9772
Phone: (336) 246-9449
Fax: (336) 846-2025
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 126 Poplar Grove Connector, Boone, NC 28607-6068 — (828) 264-4995
  • 157 Health Services Rd, Sparta, NC 28675-3000 — (336) 372-5641
  • 5261 Carrollton Pike, Galax, VA 24381-3664 — (276) 238-0911

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5000711 (NC)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 0024167387 (VA)

Record details

NPI number1457436008
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedOctober 25, 2006
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Eventus Premier Healthcare Llc — 107 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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