Individual
KELLY JO PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
600 W TRADE ST STE A, DALLAS, NC 28034-1543
(980) 934-9130
Mailing address
600 W TRADE ST STE A, DALLAS, NC 28034-1543
(980) 834-9130
(980) 834-9869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
44489
WV
363LF0000X
Family Nurse Practitioner
Primary
5019212
NC
Other
Enumeration date
10/03/2013
Last updated
01/02/2024
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