Individual
JENNIFER DIAZ SOBEJANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
50 MILLER ST STE C, WINSTON SALEM, NC 27104-4206
(336) 310-5535
(336) 310-1183
Mailing address
PO BOX 601843, CHARLOTTE, NC 28260-1843
(336) 310-5535
(336) 310-1183
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5020862
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
280020
NC
Other
Enumeration date
09/12/2024
Last updated
10/17/2025
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