9601346
Active
No
09/13/1996
09/14/2026
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Adegoke, Anthony Olusola
| Nurse Practitioner |
Active
|
07/05/2023
|
|
|
Barnes, Raven Janeen
| Nurse Practitioner |
Active
|
05/21/2026
|
|
|
Bertus, Lewis Edel
| Physician Assistant |
Active
|
06/20/2022
|
|
|
Bodley, Beverley
| Nurse Practitioner |
Active
|
11/15/2024
|
|
|
Braaten, Andrew Loren
| Physician Assistant |
Active
|
01/21/2026
|
|
|
Cahoon, Summer Gale
| Nurse Practitioner |
Active
|
01/09/2025
|
|
|
Conrad, Amber Ranee
| Physician Assistant |
Active
|
05/06/2025
|
|
|
Corbett, Kelli Lakish
| Nurse Practitioner |
Active
|
01/05/2026
|
|
|
Gardner-Daniels, Arlene
| Nurse Practitioner |
Active
|
01/11/2024
|
|
|
Halter, Karen Lynn
| Nurse Practitioner |
Active
|
12/06/2022
|
|
|
Lamielle, Cindy Oldson
| Physician Assistant |
Active
|
06/12/2026
|
|
|
Maruhn, John William
| Physician Assistant |
Active
|
04/04/2025
|
|
|
Mcauliffe, Yvonne Marie
| Nurse Practitioner |
Active
|
01/05/2023
|
|
|
Nunez, Hugo Antonio
| Nurse Practitioner |
Active
|
02/21/2024
|
|
|
Parnell, Kristen Lea
| Nurse Practitioner |
Active
|
09/16/2024
|
|
|
Patane, Jeffrey Dean
| Physician Assistant |
Active
|
05/15/2023
|
|
|
Pelliccia, Irene Viola
| Nurse Practitioner |
Active
|
09/06/2024
|
|
|
Shipman, Jerry Melvin
| Physician Assistant |
Active
|
09/10/2025
|
|
|
Wagner, Shawn Michael
| Physician Assistant |
Active
|
12/11/2025
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Roanoke-Chowan Hospital |
| Vidant Chowan Hospital |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
North Carolina Department of Adult Correction
5201 Mail Service Center
Raleigh, NC 27699-5201
919-818-7094
Information
Medical School
| School | Graduation |
| Univ. of North Carolina | 1995 |
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 |
| Pitt County Memorial Hospital | Emergency Medicine |
NC, US
| Residency | 1998 |
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 | 2021 |
Area of Practice
| Area Of Practice | Primary |
| Administrative Medicine | Yes |
| Emergency Medicine | |
Current Membership in Medical Professional Organizations
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 |
| None Reported |
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 |