Individual
YVETTE MARIE PORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-3839
(336) 716-4161
(336) 716-9440
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019293
NC
363LF0000X
Family Nurse Practitioner
95007759
CA
Other
Enumeration date
02/21/2018
Last updated
03/04/2024
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