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

Vanessa Renee Church, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1235894056

Vanessa Renee Church, NURSEPRACTITIONER is a Nurse Practitioner in Pilot Mountain, North Carolina. Qualified in 2021, 5 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
5
Licensed in
NC
In the registry since
2021
Specialties on file
2

Practice location Address checks out

207 Medical St
Pilot Mountain, NC 27041-8656
Phone: (336) 368-5011
Fax: (336) 368-1424
Show map & directions

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

Additional practice locations (1)

  • 4911 Brian Center Ln, Winston Salem, NC 27106-6423 — (336) 744-5674

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 5015284 (NC)
Nurse Practitioner Taxonomy 363L00000X · Licence 5015284 (NC)

Record details

NPI number1235894056
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedNovember 5, 2021
Last updated in NPPESJanuary 29, 2025
Certification dateJanuary 29, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Pilot Mountain