Individual
KELLY A ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
2076 NC HIGHWAY 42 W STE 250, CLAYTON, NC 27520-5304
(919) 550-3334
Mailing address
5221 PARAMOUNT PKWY STE 220, MORRISVILLE, NC 27560-5490
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
125046
NC
363LW0102X
Women's Health Nurse Practitioner
Primary
5007447
NC
Other
Enumeration date
01/26/2015
Last updated
03/27/2023
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