Individual provider · Type 1 NPI
Deyette Kay Wall, NP
Nurse Practitioner · Winston Salem, NC
Practice location
Medical Center Blvd
Winston Salem, NC 27157-1457
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 5022502 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5022502 (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 1760253249
Deyette Kay Wall, NP's National Provider Identifier is 1760253249, issued on Jan 12, 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 Aug 12, 2025.