Individual
SUZANNE MICHELLE GERALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2341 LEWISVILLE CLEMMONS RD, CLEMMONS, NC 27012-8905
(336) 713-2121
(336) 716-3065
Mailing address
100 KIMEL FOREST DR, WINSTON SALEM, NC 27103-6074
(336) 716-0238
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
231867
NC
363L00000X
Nurse Practitioner
Primary
5017247
NC
363LF0000X
Family Nurse Practitioner
5017247
NC
Other
Enumeration date
11/14/2022
Last updated
12/29/2022
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