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Licensee General Information Practice Information Education,
Certifications,
& Area of Practice Memberships,
Honors, Awards
& Public Service Academic Appointments
& Publications Actions - Adverse
& Administrative Malpractice Convictions
Licensee Information
Cassandra Nebosky-Diaz - PA-C
0010-08461
Active
No
09/19/2018
07/26/2025

Active Supervisor

NameTypeStatusApprovedInactive
Mardis, Stacey Leigh, MD MD Active 03/09/2023
Misenar, Garik Traverse, MD MD Active 02/08/2021
Wyatt, Elijah Caleb, MD MD Active 09/10/2024
Xiong, Shane, DO DO Active 09/11/2024

North Carolina Hospital Admitting Privileges

Location
Novant Health Kernersville Medical Center
Southeastern Regional Medical Center

Out of State Active/Inactive Licenses

State
None Reported

Out of Country Active/Inactive Licenses

Country
None Reported
Information loaded from this database is current as of 6/30/2025 7:33:14 PM
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