Samantha Nicole Southern
NPI #1508601402 in King, North Carolina
Provider Information
- NPI Number
- 1508601402
- Entity Type
- Individual
- Name
- Samantha Nicole Southern
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner
- Enumeration Date
- Jul 1, 2024
- Last Updated
- Nov 14, 2025
Practice Location
- Address
- 1559 TWIN OAKS DR
- City
- King
- State
- North Carolina
- ZIP Code
- 27021-9792
- Phone
- (336) 403-7899
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner |
Additional Practice Locations
2810 Maplewood Ave
Winston Salem, NC, 27103-4138
(336) 860-6194
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