Individual
CHRISTIE SUMMERLIN WALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
420 SPRING FOREST RD, GREENVILLE, NC 27834-7244
(252) 752-4124
Mailing address
1743 N FOUNTAIN RD, MACCLESFIELD, NC 27852-9305
(252) 883-6986
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016049
NC
363LF0000X
Family Nurse Practitioner
WALS-7XCVU
NC
Other
Enumeration date
04/01/2022
Last updated
04/17/2025
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