Samantha Nicole Southern
Nurse Practitioner
2810 Maplewood Ave, Winston Salem
North Carolina, 27103-4138
336-860-6194
Samantha Nicole Southern is a Winston Salem, North Carolina based nurse practitioner who is specialized as Nurse Practitioner. Active license number of Samantha Nicole Southern is 5023108 for Nurse Practitioner in North Carolina. Her current practice location is 2810 Maplewood Ave, Winston Salem. Patients can reach her at 336-860-6194 or can fax her at 336-860-6236 with specialization in Nurse Practitioner and her NPI number (Unique professional ID assigned by NPPES) is 1508601402.
Samantha Nicole Southern has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Samantha Nicole Southern speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Samantha Nicole Southern |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Practice Address: | 2810 Maplewood Ave, Winston Salem,
North Carolina, 27103-4138 |
| Phone: | 336-860-6194 |
| Fax: | 336-860-6236 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1508601402 |
| NPI Enumeration Date: | 01 Jul, 2024 |
| NPI Last Update On: | 15 Apr, 2026 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Nicole Southern are as mentioned below.
| License Number | Specialization | State | Status | |
| 5023108 | Nurse Practitioner | North Carolina | Primary | |
| F07250035 | Family NP | North Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Samantha Nicole Southern
Po Box 604050,
Charlotte, North Carolina |
| Zip: | 28260-4050 |
| Phone Number: | 336-860-6194 |
Patients can reach Samantha Nicole Southern at
2810 Maplewood Ave, Winston Salem, North Carolina or can
call to book an appointment on 336-860-6194.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 July, 2026.