Individual
MRS. MIKALA JONES DILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
175 KIMEL PARK DR STE 100, WINSTON SALEM, NC 27103-6951
(336) 718-3550
(336) 277-1825
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-3550
(336) 277-1825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5014761
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5014761
NC
Other
Enumeration date
07/23/2021
Last updated
08/28/2023
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