Individual
KELLY LAVETTE COBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3729 BENSON DR, RALEIGH, NC 27609-7324
(984) 538-7504
Mailing address
10433 LIGON MILL RD STE C, WAKE FOREST, NC 27587-4987
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
0024190274
VA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
101.0137136TELE
VT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3047
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
5020160
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
79308
NM
Other
Enumeration date
05/23/2024
Last updated
04/02/2026
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