Individual
NICOLE DOMINIQUE CALHOUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4231 SALEM SPRINGS CT, WINSTON SALEM, NC 27107-6550
(704) 860-2566
Mailing address
4231 SALEM SPRINGS CT, WINSTON SALEM, NC 27107-6550
(704) 860-2566
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
256399
NC
363LF0000X
Family Nurse Practitioner
Primary
256399
NC
363LX0106X
Occupational Health Nurse Practitioner
256399
NC
Other
Enumeration date
11/15/2019
Last updated
11/15/2019
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