Individual
LISA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-MSN, FNP-C
Contact information
Practice address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
Mailing address
700 E MOREHEAD ST STE 300, CHARLOTTE, NC 28202-2742
(704) 334-7800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04170413
NC
Other
Enumeration date
06/13/2017
Last updated
03/29/2018
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