Individual
KAITLIN ELIZABETH HENNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NNP-BC
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
21300 NAUTIQUE BLVD APT 304, CORNELIUS, NC 28031-6465
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
104648887
NC
Other
Enumeration date
02/23/2023
Last updated
02/23/2023
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