Individual
KELLEY THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
230 GOVERNMENT CENTER DR STE 154, WILMINGTON, NC 28403-1696
(910) 798-7193
(910) 798-7317
Mailing address
230 GOVERNMENT CENTER DR STE 154, WILMINGTON, NC 28403-1696
(910) 798-7193
(910) 798-7317
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
245453
NC
363LF0000X
Family Nurse Practitioner
Primary
5007724
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/04/2015
Last updated
05/06/2025
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