Individual
KELSEY BROOKE FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
111 DAVE WARLICK DR, LINCOLNTON, NC 28092-4411
(704) 240-8133
Mailing address
2505 OLE HOME TRL, DALLAS, NC 28034-9544
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
315467
NC
363LF0000X
Family Nurse Practitioner
Primary
5020311
NC
Other
Enumeration date
06/18/2024
Last updated
07/02/2024
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