Individual
KELLI NICHOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10650 PARK RD, CHARLOTTE, NC 28210-8538
(704) 667-3840
Mailing address
PO BOX 19305, CHARLOTTE, NC 28219-9305
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5007507
NC
363LF0000X
Family Nurse Practitioner
Primary
5007507
NC
Other
Enumeration date
03/03/2015
Last updated
07/16/2024
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