Individual
STEPHANIE KRISTINE KIMBRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 JONESTOWN RD, WINSTON SALEM, NC 27104-4623
(336) 768-9515
Mailing address
2735 SPICEWOOD TRAILS LN, WINSTON SALEM, NC 27106-8005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5023167
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2025
Last updated
12/01/2025
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