Individual
MONIKAH TAYLOR CHR KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
7021 NC HIGHWAY 751, DURHAM, NC 27707-5730
(919) 235-1600
Mailing address
PO BOX 602195, CHARLOTTE, NC 28260-2195
(919) 350-0351
(919) 350-7687
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5018152
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902597834
—
NC
Enumeration date
05/19/2023
Last updated
10/02/2023
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