Individual
KELLY RILEY DENNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN FNP-BC
Contact information
Practice address
2310 LULL WATER DR, FAYETTEVILLE, NC 28306-4548
(910) 988-3919
Mailing address
2310 LULL WATER DR, FAYETTEVILLE, NC 28306-4548
(910) 723-7920
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
146761
NC
Other
Enumeration date
02/09/2021
Last updated
02/09/2021
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