Individual
MRS. FELICITY NICOLE MAYBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 716-4039
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-4039
(336) 716-6937
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5016217
NC
363LW0102X
Women's Health Nurse Practitioner
5016217
NC
Other
Enumeration date
05/16/2022
Last updated
08/09/2022
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