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

Stacy Henrickson, NP

Individual provider Nurse Practitioner · NPI 1417157611

Stacy Henrickson, NP is a Nurse Practitioner in Concord, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2007
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

1090 NE Gateway Ct NE Ste 204
Concord, NC 28025-2414
Phone: (704) 403-7020
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5651 Poplar Tent Rd, Concord, NC 28027-7530 — (704) 403-7020

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5003123 (NC)

Record details

NPI number1417157611
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedJuly 25, 2007
Last updated in NPPESJanuary 20, 2021
Mailing addressPo Box 19305, Charlotte, NC 28219-9305

Other providers in Concord