Individual
GABOY JUPITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-9130
(336) 716-9252
(336) 716-0030
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9252
(336) 716-0030
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10286
CT
363L00000X
Nurse Practitioner
431172
NY
363L00000X
Nurse Practitioner
5017243
NC
363L00000X
Nurse Practitioner
CNP211642
ME
363L00000X
Nurse Practitioner
Primary
RN275508
GA
363LA2100X
Acute Care Nurse Practitioner
95005814
CA
363LF0000X
Family Nurse Practitioner
10286
CT
Other
Enumeration date
01/19/2017
Last updated
09/26/2023
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