Individual
LISA MICHELLE THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1370 W D ST, NORTH WILKESBORO, NC 28659-3506
(336) 903-7900
(336) 713-5445
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 903-7900
(336) 713-5445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012752
NC
363LF0000X
Family Nurse Practitioner
146663
NC
Other
Enumeration date
01/16/2020
Last updated
10/13/2022
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