PORCIAL WASHINGTON WILSON (NPI# 1487023495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487023495 |
| Entity Type | Individual |
| Full Name | PORCIAL WASHINGTON WILSON |
| Credential | NP |
| Practice Address |
755 Highland Oaks Dr Ste 202 Winston Salem NC 27103-7106 |
| Mailing Address |
400 Allison Ave Winston Salem NC 27105-3324 |
| Practice Telephone | 3367600070 |
| Enumeration Date | 2015-09-20 |
| Last Update Date | 2015-09-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5007965 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
755 HIGHLAND OAKS DR STE 202 |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27103-7106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124648126 | Kelly Anne Wales | Pharmacist | 3917-a Westpoint Boulevard, Winston-salem, NC 27103 | 2020-04-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1992359442 | Madeline Pryor | Pharmacist | 255 Charlois Drive, Winston Salem, NC 27103 | 2019-08-01 |
| 1215599584 | Palmetto Oxygen LLC | Durable Medical Equipment & Medical Supplies | 1100 S Stratford Road, Building B, Suite 420, Winston Salem, NC 27103 | 2019-07-07 |
| 1548734718 | Trivy Johnson | Specialist | 1384-b Westgate Center Dr., Winston Salem, NC 27103 | 2019-01-21 |
| 1447745047 | Novant Health Rehabilitation Hospital of Winston-salem, LLC | Rehabilitation Hospital | 2475 Hillcrest Center Circle, Winston Salem, NC 27103 | 2018-06-26 |
| 1346740206 | Joseph Miller | Physical Therapist | 1605 Westbrook Dr, Suite 103, Winston-salem, NC 27103 | 2018-02-17 |
| 1548779101 | Kristin Blow | Counselor | 3000 Bethesda Pl Ste 202, Winston Salem, NC 27103 | 2017-09-27 |
| 1891213443 | Alisha Dawn Wilson | Occupational Therapy Assistant | 2101 Homestead Hills Drive, Winston Salem, NC 27103 | 2017-09-05 |
| 1588186969 | Brandy Wilson | Social Worker | 153 Cameron Way Circle, Winston Salem, NC 27103 | 2017-07-07 |
| Find all providers in zip 27103 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576857 | Candace Allen | Nurse Practitioner | 1215 W Clemmonsville Rd, Winston Salem, NC 27127-4521 | 2020-10-20 |
| 1386281533 | Elena Mcginty | Nurse Practitioner | 1225 Creekshire Way, Suite 270, Winston Salem, NC 27103 | 2019-12-06 |
| 1427604883 | Jeanette Renea Torain | Nurse Practitioner | 145 Kimel Park Dr Ste 100, Winston Salem, NC 27103-6983 | 2019-08-12 |
| 1841853876 | Sarah Monzella Pack | Nurse Practitioner | 3878 Oxford Station Way Ste A, Winston Salem, NC 27103-1340 | 2019-04-16 |
| 1720547425 | Ya Huster Taylor | Nurse Practitioner | 1005 Treble Ct, Winston Salem, NC 27127-5971 | 2019-03-13 |
| 1710450127 | Assumpta Kagaba | Nurse Practitioner | 3811 White Petals Ct, Winston Salem, NC 27107-6052 | 2019-01-08 |
| 1982189460 | Erica Segers | Nurse Practitioner | 4157 Kennison Village Dr, Winston Salem, NC 27127-6694 | 2018-10-01 |
| 1710433495 | Ikeshia Knight | Nurse Practitioner | 1831 Cahill Dr, Winston Salem, NC 27127-8828 | 2016-08-31 |
| 1316323124 | Elizabeth Arpe Goodman | Nurse Practitioner | 191 Wallburg High Point Rd, Winston Salem, NC 27107-9835 | 2015-08-04 |
| 1437535499 | Monica Ward | Nurse Practitioner | 760 Highland Oaks Dr Ste 200, Winston Salem, NC 27103-7114 | 2015-07-31 |
| Find all providers in WINSTON SALEM | ||||
| City | WINSTON SALEM |
| Zip Code | 27103 |
Please comment or provide details below to improve the information on PORCIAL WASHINGTON WILSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.