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

Shelby Lynn Van Wagoner, FNP-C

Individual provider Family Nurse Practitioner · NPI 1730955162

Shelby Lynn Van Wagoner, FNP-C is a Family Nurse Practitioner in Raleigh, North Carolina. Licensed in North Carolina. Registered with an NPI since 2023.

Licensed in
NC
In the registry since
2023
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

811 Spring Forest Rd Ste 1400
Raleigh, NC 27609-9145
Phone: (919) 999-6793
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5019198 (NC)

Record details

NPI number1730955162
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedNovember 27, 2023
Last updated in NPPESNovember 27, 2023
Certification dateNovember 27, 2023

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