Individual
MS. KELSI NICOLE CHISOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9930 KINCEY AVE STE 200, HUNTERSVILLE, NC 28078-6541
(704) 887-4530
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(844) 266-8268
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022630
NC
363LF0000X
Family Nurse Practitioner
28364
SC
Other
Enumeration date
02/12/2024
Last updated
01/30/2026
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