Individual
JESSICA LEIGH DANIELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
MEDICAL CENTER BLVD 7TH FLOOR, WINSTON SALEM, NC 27157-0001
(336) 716-2011
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-3182
(336) 716-9916
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
280075
NC
363L00000X
Nurse Practitioner
Primary
5015802
NC
363LA2100X
Acute Care Nurse Practitioner
2021103230
NC
Other
Enumeration date
02/14/2022
Last updated
04/07/2022
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