Individual
MRS. KESHA SPAULDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
2740 NEW WALKERTOWN RD, WINSTON SALEM, NC 27105-4818
(336) 493-2094
Mailing address
2806 REYNOLDA RD # 190, WINSTON SALEM, NC 27106-3102
(336) 493-2094
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5017317
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
5017317
NC
Other
Enumeration date
11/28/2022
Last updated
11/07/2023
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