Individual
KELLI RANAE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-C
Contact information
Practice address
7845 LITTLE AVE, CHARLOTTE, NC 28226-8198
(704) 375-0100
(704) 887-6450
Mailing address
PO BOX 470408, CHARLOTTE, NC 28247-0408
(704) 887-6402
(704) 887-6450
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5002288
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A0806340
NC LICENSE NUMBER
NC
Enumeration date
10/03/2006
Last updated
04/11/2025
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