200100421
Active
No
04/01/2011
06/07/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Baugh, Brandy Nichole
| Nurse Practitioner |
Active
|
11/01/2021
|
|
|
Bryan, Brianna Nicole
| Physician Assistant |
Active
|
04/14/2022
|
|
|
Buckeridge, Milleny N
| Nurse Practitioner |
Active
|
03/21/2026
|
|
|
Camu, Diane Virginia Loos
| Nurse Practitioner |
Active
|
02/06/2022
|
|
|
Clark, Dana Maria
| Physician Assistant |
Active
|
07/12/2022
|
|
|
Cornette, Lauren Wooten
| Physician Assistant |
Active
|
02/17/2022
|
|
|
Davis, Torri Corryn
| Physician Assistant |
Active
|
03/10/2025
|
|
|
Fisher, Rexford Reynold
| Physician Assistant |
Active
|
07/07/2021
|
|
|
Gardela, Karina Zofia
| Nurse Practitioner |
Active
|
09/19/2024
|
|
|
Hines, Latasha Deree'
| Nurse Practitioner |
Active
|
09/15/2024
|
|
|
House, Margaretann Bocchinfuso
| Nurse Practitioner |
Active
|
02/27/2023
|
|
|
Hudson, Melanie Carol
| Nurse Practitioner |
Active
|
07/25/2024
|
|
|
Jones, Kerri Michele
| Physician Assistant |
Active
|
11/24/2018
|
|
|
Kerr, Rachel Lynn
| Physician Assistant |
Active
|
01/31/2023
|
|
|
Kim, Yejin
| Nurse Practitioner |
Active
|
09/08/2024
|
|
|
Lawson, Heather Johnson
| Nurse Practitioner |
Active
|
05/03/2021
|
|
|
Liles, Sara Beth
| Nurse Practitioner |
Active
|
02/18/2019
|
|
|
Love, Kimberly Trinh
| Physician Assistant |
Active
|
12/03/2018
|
|
|
Madden, Reginald Levon
| Nurse Practitioner |
Active
|
11/13/2018
|
|
|
Olayiwola, Oladotun Sikiru
| Nurse Practitioner |
Active
|
06/06/2026
|
|
|
Pettigrew, Christopher W
| Nurse Practitioner |
Active
|
09/16/2024
|
|
|
Pruden, Savannah Addison
| Nurse Practitioner |
Active
|
10/13/2025
|
|
|
Shepherd, Rebecca Ashley
| Physician Assistant |
Active
|
07/22/2025
|
|
|
Stanley, Karson Makenna
| Physician Assistant |
Active
|
11/10/2021
|
|
|
Thomas, Aaron Robert
| Physician Assistant |
Active
|
02/13/2012
|
|
|
Wells, Steven Ray
| Physician Assistant |
Active
|
06/14/2020
|
|
|
Wilson, Brandy Cruse
| Physician Assistant |
Active
|
03/08/2017
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Johnston Health |
| Rex Healthcare |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Rex Vascular Surgical Specialists
4414 Lake Boone Trail, Ste 505
Raleigh, NC 27607-7505
919-784-2300
Information
Medical School
| School | Graduation |
| University Of Miami | 1996 |
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 |
| UNC Hospitals | Vascular and Interventional Radiology |
NC, US
| Fellowship | 2004 |
| UNC Hospitals | Vascular Surgery |
NC, US
| Fellowship | 2003 |
| UNC Hospitals | General Surgery |
NC, US
| Residency | 2001 |
| UNC Hospitals | General Surgery |
NC, US
| Internship | 1997 |
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 |
| Vascular Surgery | 2013 |
Area of Practice
| Area Of Practice | Primary |
| Vascular and Interventional Radiology | |
| Vascular Surgery | Yes |
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 |