Individual
STEPHANIE ANNE THORNTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 716-9272
Mailing address
258 WINFIELD DR, KING, NC 27021-9444
(336) 692-2575
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5007821
NC
363L00000X
Nurse Practitioner
F0515377
NC
Other
Enumeration date
07/25/2015
Last updated
07/18/2023
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