Individual provider · Type 1 NPI
Joan Priddy-Southern, NP
Adult Health Nurse Practitioner · Winston Salem, NC
NPI number
1427356153
Active
Practice location
145 Kimel Park Dr, Suite 330
Winston Salem, NC 27103-6984
Fax (336) 714-6481
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 83415 (NC) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1427356153
Joan Priddy-Southern, NP's National Provider Identifier is 1427356153, issued on Mar 4, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Winston Salem, NC. The record was last updated on Sep 9, 2020.