Individual
MRS. JENNIFER WINN POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106
(336) 251-1114
(336) 251-1117
Mailing address
4692 BROWNSBORO RD, WINSTON SALEM, NC 27106-3410
(336) 251-1114
(336) 251-1117
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
220184
SC
363LF0000X
Family Nurse Practitioner
22648
SC
363LF0000X
Family Nurse Practitioner
Primary
5011676
NC
Other
Enumeration date
09/23/2017
Last updated
10/22/2019
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