Organization
DIVINITY WELLNESS CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEXTERIA REBECCA JENKINS RN (OWNER)
(336) 225-1079
Entity
Organization
Contact information
Practice address
620 N DUNLEITH AVE, WINSTON SALEM, NC 27101-3374
(336) 278-1318
(844) 453-2100
Mailing address
PO BOX 286, WALLBURG, NC 27373-0286
(336) 225-1079
(877) 243-1084
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/25/2023
Last updated
12/22/2025
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