Individual provider · Type 1 NPI

Misty Simcox Jarvis, AGNP-C

Nurse Practitioner · Winston Salem, NC

NPI number 1780570085 Active

Practice location

1710 S Hawthorne Rd
Winston Salem, NC 27103-4016

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X5022726 (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 1780570085

Misty Simcox Jarvis, AGNP-C's National Provider Identifier is 1780570085, issued on Jun 16, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Winston Salem, NC. The record was last updated on May 7, 2026.