Individual provider · NPI-1
Giniann Forrester, RN
Registered Nurse, General Practice · Winston Salem, NC
NPI number1679158554
StatusActive
Last updated in NPPESMar 12, 2021
Details
- NPI
- 1679158554
- Entity type
- Individual (NPI-1)
- Name
- Giniann Forrester
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 12, 2021
- Certification date
- Mar 12, 2021
- Last updated
- Mar 12, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 246910 | NC | Yes |
Practice location
Medical Center BlvdWinston Salem, NC 27157-0001
Phone 336-716-2011
Mailing address
3627 Signet DrWinston Salem, NC 27101-2263
Phone 478-747-7127
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