2022-01345
Active
No
05/23/2022
05/23/2027
Active Supervisees
| Name | Type | Status | Approved | Inactive |
|
Constantin, Nanncie
| Nurse Practitioner |
Active
|
11/16/2023
|
|
|
Fortenberry, Emily Daffron
| Nurse Practitioner |
Active
|
05/01/2026
|
|
|
Griffith, Claire Kathryn
| Physician Assistant |
Active
|
11/27/2023
|
|
|
Hilton, Coltyn
| Nurse Practitioner |
Active
|
10/30/2025
|
|
|
Hope, Madison Sansone
| Physician Assistant |
Active
|
11/27/2023
|
|
|
Kovalick, Heather Dawn
| Nurse Practitioner |
Active
|
11/06/2025
|
|
|
Leroy, Frantzley James
| Nurse Practitioner |
Active
|
11/14/2025
|
|
|
Louka, Camelia Abdou
| Nurse Practitioner |
Active
|
05/11/2026
|
|
|
Mercado, Axel Luis
| Physician Assistant |
Active
|
12/02/2023
|
|
|
Moore, Ann Roberts
| Nurse Practitioner |
Active
|
05/15/2026
|
|
|
Salazar, Shalaila Ann
| Nurse Practitioner |
Active
|
04/03/2024
|
|
|
Serushan, Ali
| Nurse Practitioner |
Active
|
09/19/2025
|
|
|
Sidney, Katrina Trinette
| Nurse Practitioner |
Active
|
11/11/2024
|
|
|
Sunil, Ranjani
| Physician Assistant |
Active
|
09/09/2024
|
|
|
Tortual, Layla Jannelle
| Physician Assistant |
Active
|
09/10/2025
|
|
North Carolina Hospital Admitting Privileges
| Location |
| Onslow Memorial Hospital |
| Wilson Medical Center |
Out of State Active/Inactive Licenses
Out of Country Active/Inactive Licenses
Address
Wilson Medical Center
1705 Tarboro St SW
Wilson, NC 27893
252-399-7410
Information
Medical School
| School | Graduation |
| Edward Via College of Osteopathic Medicine Carolinas [Spartanburg, SC] | 2019 |
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 |
| Carilion Clinic | Internal Medicine |
VA, US
| Residency | 2022 |
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 |
| Internal Medicine | 2022 |
Area of Practice
| Area Of Practice | Primary |
| Hospitalist | |
| Internal 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 |