2011-01916
Active
No
12/08/2011
07/23/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Beach, Peggy Ann
| Nurse Practitioner |
Active
|
10/22/2025
|
|
|
Bryan, Heather
| Nurse Practitioner |
Active
|
10/22/2025
|
|
|
Case, Courtney Nicole Antoinette
| Physician Assistant |
Active
|
07/04/2026
|
|
|
Chan, Gerald Borja
| Physician Assistant |
Active
|
07/09/2025
|
|
|
Chavis, Kevin Lee
| Nurse Practitioner |
Active
|
01/16/2025
|
|
|
Childress, Allyson Dupay
| Physician Assistant |
Active
|
03/21/2025
|
|
|
Ciccolini, Darren Anthony
| Physician Assistant |
Active
|
09/08/2025
|
|
|
Clayton, Jon Russell
| Physician Assistant |
Active
|
11/18/2019
|
|
|
Cook, Suzanne Ferguson
| Nurse Practitioner |
Active
|
11/11/2025
|
|
|
Culler, Shannon Leigh
| Nurse Practitioner |
Active
|
10/02/2025
|
|
|
Deese, Meagan Denise
| Nurse Practitioner |
Active
|
08/15/2024
|
|
|
Dickinson, Tawana Higgins
| Nurse Practitioner |
Active
|
09/18/2023
|
|
|
Eaton, Marcy Davenport
| Physician Assistant |
Active
|
11/18/2019
|
|
|
Edwards, Bryan Terence
| Physician Assistant |
Active
|
05/05/2023
|
|
|
Eng, Sherri Wheeler
| Nurse Practitioner |
Active
|
11/24/2025
|
|
|
Fairfax, Jessica Nicole
| Nurse Practitioner |
Active
|
08/21/2024
|
|
|
Faye, Sheik Amat Tijan
| Physician Assistant |
Active
|
12/01/2025
|
|
|
Francois, Vania
| Nurse Practitioner |
Active
|
12/31/2025
|
|
|
Gordon-Escobar, Kathryn Rose
| Physician Assistant |
Active
|
03/14/2023
|
|
|
Gupton, Nikesha Mesha
| Nurse Practitioner |
Active
|
04/25/2025
|
|
|
Hanneman, Mariya Michailivna
| Physician Assistant |
Active
|
03/13/2022
|
|
|
Hegarty, Loni Tyndall
| Nurse Practitioner |
Active
|
11/22/2024
|
|
|
Hill, Amber Lynn Keck
| Physician Assistant |
Active
|
06/18/2025
|
|
|
Hill, Susan Blair
| Nurse Practitioner |
Active
|
03/18/2025
|
|
|
Hinson, Leigh Barnhill
| Nurse Practitioner |
Active
|
08/15/2024
|
|
|
Holley, Melissa Jones
| Nurse Practitioner |
Active
|
10/29/2025
|
|
|
Hopkins, Alexandria Mason
| Nurse Practitioner |
Active
|
03/05/2022
|
|
|
Hrdina, Jason Conrad
| Physician Assistant |
Active
|
07/17/2023
|
|
|
Iasiello , Katelyn Ann
| Physician Assistant |
Active
|
11/27/2024
|
|
|
Ibach, Amy
| Physician Assistant |
Active
|
05/24/2021
|
|
|
Jones, Kristen
| Nurse Practitioner |
Active
|
03/24/2022
|
|
|
Lockhart, Jennifer Lynn
| Nurse Practitioner |
Active
|
06/01/2021
|
|
|
Locklear, Phoenix
| Physician Assistant |
Active
|
12/23/2025
|
|
|
Lucak, Jeffrey Alan
| Physician Assistant |
Active
|
05/22/2025
|
|
|
Lunsford, Adam Lee
| Nurse Practitioner |
Active
|
10/06/2025
|
|
|
Ngo, Trang Thanh
| Nurse Practitioner |
Active
|
05/16/2021
|
|
|
Oleson, Nicholas Edwin
| Physician Assistant |
Active
|
11/15/2019
|
|
|
Olio, Tansy Jane
| Nurse Practitioner |
Active
|
07/26/2021
|
|
|
Ortega, Alyssa Marie
| Physician Assistant |
Active
|
12/07/2025
|
|
|
Passannante, Mary Louise
| Physician Assistant |
Active
|
11/11/2025
|
|
|
Patel, Darshana A
| Nurse Practitioner |
Active
|
07/18/2022
|
|
|
Peacock, Christina Garner
| Nurse Practitioner |
Active
|
07/28/2021
|
|
|
Penn, Robert David
| Physician Assistant |
Active
|
03/10/2026
|
|
|
Pereira, Victor Mauricio
| Physician Assistant |
Active
|
11/25/2024
|
|
|
Prafka, Michael Richardson
| Physician Assistant |
Active
|
08/21/2025
|
|
|
Raymond, Dawn E.
| Nurse Practitioner |
Active
|
04/06/2026
|
|
|
Rose, Mariah Quenette
| Nurse Practitioner |
Active
|
07/10/2024
|
|
|
Sanford, Frances Caroline
| Physician Assistant |
Active
|
10/28/2024
|
|
|
Schmid, Erin Elizabeth
| Nurse Practitioner |
Active
|
12/10/2025
|
|
|
Smith, Rachel
| Nurse Practitioner |
Active
|
11/08/2025
|
|
|
Smith, Sheeketa Bellamy
| Nurse Practitioner |
Active
|
03/20/2025
|
|
|
Stanton, Taressa
| Nurse Practitioner |
Active
|
06/25/2026
|
|
|
Stoia, Kelly Byrne
| Nurse Practitioner |
Active
|
12/16/2025
|
|
|
Tart, Lindsay Brown
| Nurse Practitioner |
Active
|
11/02/2023
|
|
|
Tavoc, Tabita
| Physician Assistant |
Active
|
09/04/2025
|
|
|
Taylor, Renae Owens
| Nurse Practitioner |
Active
|
03/11/2026
|
|
|
Tester, Hillary Aspen
| Physician Assistant |
Active
|
04/18/2026
|
|
|
Thompson, Sean Levalle
| Physician Assistant |
Active
|
11/29/2025
|
|
|
Thompson-Tucker, Kimberly Lea
| Physician Assistant |
Active
|
11/08/2019
|
|
|
Vines, Danyel Sutton
| Nurse Practitioner |
Active
|
04/09/2026
|
|
|
Weeks, Heather Fulghum
| Nurse Practitioner |
Active
|
10/29/2025
|
|
|
Whitley, Sarah
| Nurse Practitioner |
Active
|
10/12/2022
|
|
|
Wiercinski, Zachary Mark
| Nurse Practitioner |
Active
|
04/10/2026
|
|
|
Wynn, Chileatha Donyell
| Physician Assistant |
Active
|
12/01/2025
|
|
|
Young, Jamie Lynn
| Nurse Practitioner |
Active
|
06/05/2025
|
|
North Carolina Hospital Admitting Privileges
Out of State Active/Inactive Licenses
| State |
| Illinois |
| South Carolina |
| Virginia |
Out of Country Active/Inactive Licenses
Address
Raleigh, NC
Information
Medical School
| School | Graduation |
| The Brody School of Medicine at East Carolina University | 2006 |
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 |
| Lutheran General Hospital | Family Medicine |
IL, US
| Residency | 2009 |
| Lutheran General Hospital | Family Medicine |
IL, US
| Internship | 2007 |
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 | 2010 |
Area of Practice
| Area Of Practice | Primary |
| Family Practice | Yes |
| Occupational Medicine | |
| Telemedicine | |
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 |