Individual
KELSEA JO JUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
102 POMONA DR, GREENSBORO, NC 27407-1616
(336) 299-0000
Mailing address
102 POMONA DR, GREENSBORO, NC 27407-1616
(363) 299-0000
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
300590
NC
363LF0000X
Family Nurse Practitioner
Primary
5014528
NC
Other
Enumeration date
04/28/2021
Last updated
10/20/2022
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