Individual
MISTY SIMCOX JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
1710 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
(336) 765-6897
Mailing address
1710 S HAWTHORNE RD, WINSTON SALEM, NC 27103-4016
(336) 765-6897
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022726
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/16/2025
Last updated
05/07/2026
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