Individual provider · Type 1 NPI

Mikayla Jordan Rafte

Nurse Practitioner · Winston Salem, NC

NPI number 1396443396 Active

Practice location

1381 Westgate Center Dr
Winston Salem, NC 27103-2934

Call (336) 718-0100 Map

Fax (336) 718-0120

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 1601 Greene St, Columbia, SC 29208-4001 · (803) 777-7412

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X5019171 (NC)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1396443396

Mikayla Jordan Rafte's National Provider Identifier is 1396443396, issued on Feb 20, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Jan 15, 2024.