Individual
KELLY LEE GLISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2421 SILVER STREAM LN, WILMINGTON, NC 28401-7684
(910) 341-3300
(910) 251-2067
Mailing address
PO BOX 751069, ECU PHYSICIANS, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5006909
NC
363LF0000X
Family Nurse Practitioner
229280
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144635376
—
NC
01
—
188F4
BCBSNC
NC
Enumeration date
06/26/2014
Last updated
01/17/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us