Individual
MRS. LISA KIGHT EDMONDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
5150 QUEENSWAY RD, WINSTON SALEM, NC 27127-7344
(828) 206-1627
Mailing address
5150 QUEENSWAY RD, WINSTON SALEM, NC 27127-7344
(828) 206-1627
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
188386
NC
363LF0000X
Family Nurse Practitioner
Primary
5020489
NC
363LF0000X
Family Nurse Practitioner
Primary
F07240632
NC
Other
Enumeration date
04/15/2024
Last updated
01/12/2026
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