Healthcare Provider Details

I. General information

NPI: 1376429654
Provider Name (Legal Business Name): SIERRA MICHELLE EGGERS FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SIERRA MICHELLE HENSLEY

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 08/13/2025
Certification Date: 08/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3511 W MARKET ST STE 100
GREENSBORO NC
27403-4444
US

IV. Provider business mailing address

125 HEARTHSIDE DR
WINSTON SALEM NC
27104-2711
US

V. Phone/Fax

Practice location:
  • Phone: 336-522-8999
  • Fax:
Mailing address:
  • Phone: 984-364-7859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number5022843
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: