Individual provider · Type 1 NPI
Jataya Alianna Fowlkes
Health Service Clinic/Center · Winston Salem, NC
NPI number
1922946987
Active
Practice location
1413 Trademart Blvd
Winston Salem, NC 27127-5645
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
Health Service Clinic/Center: Definition to come...
About NPI 1922946987
Jataya Alianna Fowlkes's National Provider Identifier is 1922946987, issued on Mar 23, 2026. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Winston Salem, NC. The record was last updated on Jun 15, 2026.