Myla Deandra Ward, DNP, PNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

5021563 Issued in NC

Practice address

604 Avent Ferry Rd
Holly Springs, NC 27540-8928

Phone

(919) 586-0050

NPI assigned

Jan 27, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jeffers Mann & Artman Pediatric & Adolesent Medicine PA

  • Pediatric Adolescent Medicine Physician
  • Raleigh, NC
  • NPI 1962466631
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1737936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737936000000",
    "number": "1689487548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 HIDDEN CELLARS DR",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408515",
            "telephone_number": "843-860-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 AVENT FERRY RD",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275408928",
            "telephone_number": "919-586-0050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARD",
        "first_name": "MYLA",
        "middle_name": "DEANDRA",
        "name_prefix": "Dr.",
        "credential": "DNP, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-27",
        "last_updated": "2025-01-27",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NC",
            "license": "5021563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renee A Wall, DDS
• Allyson Wallbridge, RDN
• Megan Elizabeth Waller, RDN
• Jennifer Rebecca Walsh, LCSWA
• Brett Walters, DPT, PT
• Dana Rae Watkins
• Keri Elizabeth Weigle, MD
• Mandi Sue Weiser, LMT
• Well Care Home Health of the Southern Triangle, Inc.
• Jolyn P Welsh

• All providers in Holly Springs, NC
• Pediatric Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.