Organization · Type 2 NPI

Forsyth Memorial Hospital Inc

Nurse Practitioner · Kernersville, NC

NPI number 1700911278 Active

Practice location

280 Broad St Ste 280D, Forsyth Internal Medicine - Kernersville
Kernersville, NC 27284-2796

Fax (336) 993-5282

Mailing address

2000 Frontis Plaza Blvd Ste 200, Forsyth Medical Group Llc
Winston Salem, NC 27103-5616

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XNone listed
Physician Assistant 363A00000XNone listed
Nurse Practitioner Primary 363L00000XNone listed

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…

About NPI 1700911278

Forsyth Memorial Hospital Inc's National Provider Identifier is 1700911278, issued on Feb 23, 2007. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kernersville, NC. The record was last updated on Sep 11, 2025.