Individual
NICOLE MARIE ELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
237 MULBERRY ST, SHALLOTTE, NC 28470-4471
(910) 754-8858
Mailing address
237 MULBERRY ST, SHALLOTTE, NC 28470-4471
(910) 754-8858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
11032746
FL
363LF0000X
Family Nurse Practitioner
29756
SC
363LF0000X
Family Nurse Practitioner
30880
SC
363LF0000X
Family Nurse Practitioner
Primary
5017617
NC
363LF0000X
Family Nurse Practitioner
SP031398
PA
Other
Enumeration date
02/07/2023
Last updated
04/07/2026
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