2005-01941
Active
No
12/15/2005
02/22/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Acosta, Ernesto Antonio
| Nurse Practitioner |
Active
|
04/23/2026
|
|
|
Arledge, Leslie Ann
| Nurse Practitioner |
Active
|
08/22/2024
|
|
|
Arruda, Amy Lynn
| Physician Assistant |
Active
|
11/19/2024
|
|
|
Bock, Cheryl Lynn
| Nurse Practitioner |
Active
|
04/19/2023
|
|
|
Bowman, Won Gin Jackson
| Physician Assistant |
Active
|
09/02/2022
|
|
|
Bracken, Christy Tucker
| Physician Assistant |
Active
|
03/11/2026
|
|
|
Brewer, Haley Jane
| Physician Assistant |
Active
|
07/16/2024
|
|
|
Cartner, Benjamin William
| Physician Assistant |
Active
|
12/12/2022
|
|
|
Clark, Meghan Rosilae
| Physician Assistant |
Active
|
07/27/2026
|
|
|
Cuthriell, Jonathan Daniel
| Physician Assistant |
Active
|
07/16/2025
|
|
|
Draney, Clint Adam
| Physician Assistant |
Active
|
11/04/2023
|
|
|
Eva, Brianne Elizabeth
| Physician Assistant |
Active
|
05/03/2023
|
|
|
Fitzgerald, Milissa Johnson
| Physician Assistant |
Active
|
10/24/2019
|
|
|
Godfrey, Alexandra Heloise
| Physician Assistant |
Active
|
01/08/2025
|
|
|
Gonzalez, Luis C
| Physician Assistant |
Active
|
03/04/2026
|
|
|
Grant, Krystal Simone Rene
| Nurse Practitioner |
Active
|
11/27/2025
|
|
|
Greene, Tiffany Gail
| Physician Assistant |
Active
|
10/07/2022
|
|
|
Gross, Lisa Ann
| Physician Assistant |
Active
|
01/27/2025
|
|
|
Huff, Jacqueline Elizabeth
| Physician Assistant |
Active
|
09/20/2022
|
|
|
Joines, Brooke Killian
| Nurse Practitioner |
Active
|
08/29/2024
|
|
|
Jordan, Samuel Huske
| Physician Assistant |
Active
|
10/21/2025
|
|
|
Joyner, Nicolas Dalton
| Nurse Practitioner |
Active
|
04/07/2024
|
|
|
Kudrna, Kari Ann
| Nurse Practitioner |
Active
|
05/11/2024
|
|
|
Lacombe, Michael Joseph
| Physician Assistant |
Active
|
10/29/2021
|
|
|
Lashmit, Cheyenne Alicia
| Physician Assistant |
Active
|
10/24/2025
|
|
|
Lisenby, Stephanie Nicole
| Nurse Practitioner |
Active
|
07/15/2024
|
|
|
Loll, Ryan Fitzpatrick
| Physician Assistant |
Active
|
01/14/2026
|
|
|
Muller, Angela Marie
| Nurse Practitioner |
Active
|
04/17/2020
|
|
|
Muthersbaugh, Hannah Cox
| Physician Assistant |
Active
|
06/08/2025
|
|
|
Phillips, Richard Brock
| Physician Assistant |
Active
|
08/24/2022
|
|
|
Proffitt, Michelle Collins
| Nurse Practitioner |
Active
|
12/14/2023
|
|
|
Quintero, Tammi Tolbert
| Physician Assistant |
Active
|
06/06/2023
|
|
|
Rogers, Zackary Daniel
| Physician Assistant |
Active
|
10/03/2023
|
|
|
Rowan, Sydney Nicole
| Physician Assistant |
Active
|
06/03/2022
|
|
|
Secrest, Jon Andrew
| Physician Assistant |
Active
|
10/10/2021
|
|
|
Smith, Sarah Arcara
| Physician Assistant |
Active
|
06/10/2021
|
|
|
Summerlin, Julienne Annette
| Physician Assistant |
Active
|
09/08/2025
|
|
|
Thao, Ue
| Physician Assistant |
Active
|
01/17/2024
|
|
|
Venter, Margaux
| Physician Assistant |
Active
|
03/26/2023
|
|
|
Walker, Kevin Bradford
| Physician Assistant |
Active
|
06/24/2024
|
|
|
Warrilow, James Michael
| Physician Assistant |
Active
|
09/25/2024
|
|
|
Watson, Melissa Cecil
| Nurse Practitioner |
Active
|
12/21/2025
|
|
|
Williams, Tara Renee
| Nurse Practitioner |
Active
|
08/05/2024
|
|
|
Winsor, Kiara
| Nurse Practitioner |
Active
|
06/09/2020
|
|
|
Woods, Jaclyn Marie
| Physician Assistant |
Active
|
09/27/2023
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Charles A. Cannon, Jr. Memorial Hospital, Incorporated |
| Iredell Health System |
| Lincoln Medical Center |
| Park Ridge Hospital |
| Stanly Regional Medical Center |
| Wake Forest Baptist Health - High Point Regional Medical Center |
| Wake Forest Baptist Health-Lexington Medical Center |
| Wake Forest Baptist Medical Center |
| Watauga Medical Center |
| Wilkes Regional Medical Center |
Out of State Active/Inactive Licenses
| State |
| California |
| Virginia |
| West Virginia |
Out of Country Active/Inactive Licenses
Address
Atrium Health Wake Forest Baptist Health Urgent Care - Friendly Center
3120 Northline Ave.
#103
Greensboro, NC 27408
336-713-0818
Information
Medical School
| School | Graduation |
| Medical College of Georgia School of Medicine | 2002 |
Post Graduate Training
"Last Year" does not necessarily mean that the licensee completed his/her training program. (In NC, a physician can be licensed without completing such a program.)
| Institution | Specialty | State, Country | Training Program | Last Year |
| Loma Linda University | Other - EMS |
CA, US
| Fellowship | 2006 |
| Duke University | Emergency Medicine |
NC, US
| Residency | 2005 |
Current Board Certification and Year of Certification/Recertification
Physicians should not list non-ABMS or non-AOA specialty boards unless the board meets the criteria set forth in the NC Medical Board’s Advertising and Publicity Position Statement.
| Primary/Subspecialty | Year |
| Emergency Medicine | 2016 |
Area of Practice
| Area Of Practice | Primary |
| Emergency Medicine | Yes |
Current Membership in Medical Professional Organizations
| Membership |
| American College of Emergency Physicians |
| National Association of EMS Physicians |
| North Carolina Tactical Medical Association |
Honors & Awards
| Honor/Award | Given By | Date |
| None Reported |
Public Service
| Name of Clinic | Service Description | Date |
| None Reported |
Current Academic Appointments
| Title | Institution | City, State, Country |
| Instructor | Wake Forest University Health Sciences |
Winston Salem, NC, US
|
Publications
Section 1: Adverse Actions
North Carolina Medical Board Public Actions
| Date | Description | Link |
| None Reported |
Other Regulatory Board or Agency Public Actions
| Date | Name of Board/Agency | Action Taken | Link |
| None Reported |
Health Care Institution Suspensions and Revocations
| Date | Health Care Institution | Action Taken |
| None Reported |
Section 2: Administrative Actions
Actions listed in this section are considered non-disciplinary by the Board. In situations where
administrative actions are taken, the licensee may not have met certain statutory requirements or
may have failed to follow correct administrative procedures.
North Carolina Medical Board Reentry Agreement
| Date | Description | Link |
| None Reported |
North Carolina Special Purpose Licensing Agreement
| Date | Description | Link |
| None Reported |
Malpractice Information
The Board is currently reviewing the care that led to this payment.
| Incident Date | Payment Date | Area of Practice | City, State, Country | Response |
| None Reported |
Misdemeanor/DUI/DWI Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |
Felony Conviction Information
| Conviction Date | Conviction | Jurisdiction | Sentence |
| None Reported |