Individual provider · Type 1 NPI
Samantha Nicole Southern
Nurse Practitioner · Winston Salem, NC
Practice location
2810 Maplewood Ave
Winston Salem, NC 27103-4138
Fax (336) 860-6236
Mailing address
PO Box 604050
Charlotte, NC 28260-4050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 5023108 (NC) |
| Family Nurse Practitioner | 363LF0000X | F07250035 (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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Other nurse practitioner providers in Winston Salem
- Kaila HaskinsNurse Practitioner Winston Salem, NC NPI 1003395948
- Cora Robbins, NPNurse Practitioner Winston Salem, NC NPI 1003533191
- Joy Lianne Justice, FNPNurse Practitioner Winston Salem, NC NPI 1013122092
- Deborah Krist PotticaryNurse Practitioner Winston Salem, NC NPI 1013455039
- Simonica Uriah Forrest, FNP-CNurse Practitioner Winston Salem, NC NPI 1013639459
- Bridgett Amanda Saliba, NNP-BCNurse Practitioner Winston Salem, NC NPI 1013673987
- Lisa Anne Cooleen, N.P.Nurse Practitioner Winston Salem, NC NPI 1023270972
- Angela T. Donnelly, ANPNurse Practitioner Winston Salem, NC NPI 1023275138
About NPI 1508601402
Samantha Nicole Southern's National Provider Identifier is 1508601402, issued on Jul 1, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 15, 2026.