Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kingdom Reserves Psychiatry

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1013861913

Kingdom Reserves Psychiatry is a Psychiatric/Mental Health Nurse Practitioner in Wake Forest, North Carolina. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

901 Royal Mill Ave Apt 335
Wake Forest, NC 27587-1686
Phone: (984) 231-9750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1013861913
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tameka Davis — Pmhnp · (832) 978-4855
NPI enumeratedFebruary 26, 2026
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address901 Royal Mill Ave Apt 335, Wake Forest, NC 27587-1686

Other providers in Wake Forest