STEPHANIE LYNN VICK FNP-C
NPI 1255194494
Nurse Practitioner - Family in Waycross, GA

Active since January 31, 2024
1718 OLD REYNOLDS ST, WAYCROSS, GA 31501(912) 283-5260 Get Directions Write a Review

NPPES record last updated: December 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Stephanie Lynn Vick Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE LYNN VICK FNP-C (NPI 1255194494) is an individual family provider in Waycross, Georgia, licensed in Georgia (RN209399) and active in the NPI registry since January 2024. She maintains a secondary practice location in Hazlehurst.

NPPES Registry Identity

NPI1255194494
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSTEPHANIE LYNN VICKCredential: FNP-C
Location Address1718 OLD REYNOLDS STWaycross, GA 31501-1036
Mailing Address1307 Dan Duran RdNicholls, GA 31554-5837 · (912) 327-0182
Sole ProprietorNo
Enumeration DateJanuary 31, 2024
Last NPPES UpdateDecember 21, 2025
NPPES CertifiedDecember 21, 2025
NPI 1255194494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in GA · RN209399
1718 OLD REYNOLDS ST, Waycross, GA 31501

Secondary Practice Location 1

Location 1162 E Jarman StHazlehurst, GA 31539-6173 · Phone (912) 209-0239

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Vick's NPI number?

The NPI number for Stephanie Vick is 1255194494. It was assigned to this individual provider in the NPPES registry on January 31, 2024.

Where is Stephanie Vick located?

Stephanie Vick practices at 1718 Old Reynolds St, Waycross, GA 31501. The listed phone number is (912) 283-5260.

What is Stephanie Vick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Vick was last updated on December 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.