KELLY JO STOCKTON-DRUM ANP-CGNP NPI 1386936946

NPI Information

NPI: 1386936946
Provider Name: KELLY JO STOCKTON-DRUM, ANP-C,GNP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
3975 ROBINSON RD
NEWTON, NC
ZIP 28658
Phone: (828) 466-0466
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Kelly Jo Stockton-drum, ANP-C,GNP is an adult health nurse practitioner in Newton, NC with 14 years of experience. Kelly Jo Stockton-drum, ANP-C,GNP NPI is 1386936946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3975 ROBINSON RD
NEWTON, NC
ZIP 28658
Phone: (828) 466-0466
Fax: (828) 466-8862

The NPI 1386936946 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/13/2011 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363L00000X	Nurse Practitioner		5005167	NORTH CAROLINA	No
2	363LG0600X	Nurse Practitioner	Gerontology	5005167	NORTH CAROLINA	No
3	363LA2200X	Nurse Practitioner	Adult Health	5005167	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7004895	MEDICAID	NORTH CAROLINA
2	203866	OTHER	NORTH CAROLINA	RN LICENSE
3	5005167	OTHER	NORTH CAROLINA	NP LICESNE
4	19N0H	OTHER	NORTH CAROLINA	BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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