Individual
EYANNA THOMPSON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
3734 REYNOLDA RD, WINSTON SALEM, NC 27106-2240
(336) 922-1102
Mailing address
3734 REYNOLDA RD, WINSTON SALEM, NC 27106-2240
(336) 922-1102
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F06232152
NC
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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