Individual
MRS. KELLY GARDNER EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN, FNP/WHNP-BC
Contact information
Practice address
8210 RENAISSANCE PKWY, DURHAM, NC 27713-6688
(919) 425-0001
Mailing address
8210 RENAISSANCE PKWY, DURHAM, NC 27713-6688
(919) 425-0001
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201837
NC
363LW0102X
Women's Health Nurse Practitioner
201837
NC
Other
Enumeration date
12/02/2008
Last updated
01/16/2013
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