Individual
KAILY WILSON WARREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1 MEDICAL CENTER BLVD ARDMORE TOWER 7TH FLOOR, WINSTON SALEM, NC 27157-7369
(336) 713-4500
(336) 713-4501
Mailing address
MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5012996
NC
363L00000X
Nurse Practitioner
F01201776
NC
Other
Enumeration date
03/16/2020
Last updated
12/07/2023
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