Individual
THERESA NKECHI EKENEDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1000 BLYTHE BLVD, CHARLOTTE, NC 28203-5812
(704) 446-3451
Mailing address
713 WOBURN ABBEY DR, FORT MILL, SC 29715-6930
(704) 808-0732
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
259365
SC
363L00000X
Nurse Practitioner
24962
SC
363LP2300X
Primary Care Nurse Practitioner
24962
SC
Other
Enumeration date
05/13/2021
Last updated
03/27/2026
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