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Organization

DIVINITY WELLNESS CENTER PLLC

Active
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Organization

DIVINITY WELLNESS CENTER PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEXTERIA REBECCA JENKINS AGNP-C (OWNER)
(336) 225-1079
Entity
Organization

Contact information

Practice address
620 N DUNLEITH AVE, WINSTON SALEM, NC 27101-3374
(336) 221-3454
(336) 245-4601
Mailing address
PO BOX 286, WALLBURG, NC 27373-0286
(336) 221-3454
(336) 245-4601

Taxonomy

Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
NULL
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—

Other

Enumeration date
01/25/2023
Last updated
06/23/2026
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