9901239
Active
No
09/18/1999
01/02/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Agamedi, Kimberly Lewis
| Nurse Practitioner |
Active
|
04/22/2026
|
|
|
Baker, Leah Mckinney
| Physician Assistant |
Active
|
01/15/2020
|
|
|
Bolton, Sarah Catherine
| Nurse Practitioner |
Active
|
12/09/2025
|
|
|
Byrd, Nakedra Lasha'e
| Nurse Practitioner |
Active
|
08/27/2023
|
|
|
Enrich, Yolanda
| Nurse Practitioner |
Active
|
01/08/2025
|
|
|
Frieslaar, Emma Fay Fiore
| Physician Assistant |
Active
|
06/23/2025
|
|
|
James, Shannon Rebekah
| Nurse Practitioner |
Active
|
05/15/2025
|
|
|
Keller, Jennifer Ellen
| Nurse Practitioner |
Active
|
01/16/2024
|
|
|
Koontz, Kellie Preslar
| Nurse Practitioner |
Active
|
02/11/2025
|
|
|
Marion, Gail S.
| Physician Assistant |
Active
|
07/30/2010
|
|
|
Martin, Christele Kidibu
| Nurse Practitioner |
Active
|
12/03/2024
|
|
|
Mcnair, Emilie Muriel
| Nurse Practitioner |
Active
|
08/06/2015
|
|
|
Norwood, Tracy Delvon
| Nurse Practitioner |
Active
|
10/04/2023
|
|
|
Perez, Nancy
| Nurse Practitioner |
Active
|
12/05/2018
|
|
|
Sharpe, Daphne Kaye
| Nurse Practitioner |
Active
|
10/30/2024
|
|
|
Shull, Catherine Neal
| Physician Assistant |
Active
|
03/20/2008
|
|
|
Thompson, Brittney Nicole
| Nurse Practitioner |
Active
|
06/23/2025
|
|
|
Woodson, Tanya Sue
| Physician Assistant |
Active
|
04/25/2025
|
|
North Carolina Hospital Admitting Privileges
| Location |
| North Carolina Baptist Hospital-Wake Forest Baptist Medical Center |
| Wake Forest Baptist Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
WFU School of Medicine
Dept of Family & Community Medicine
Medical Center Blvd
Winston-Salem, NC 27157
336-716-4479
Information
Medical School
| School | Graduation |
| Bowman Gray Sch of Med | 1988 |
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 |
| Rush/ Christ Family Medicine Resideny | Family Medicine |
IL, US
| Fellowship | 1992 |
| Rush/ Christ Family Medicine Resideny | Family Medicine |
IL, US
| Residency | 1991 |
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 |
| Family Medicine | 2023 |
Area of Practice
| Area Of Practice | Primary |
| Administrative Medicine | |
| Family Medicine | 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 |