MRS. KELLY GARDNER EDWARDS RN MSN FNP/WHNP-BC NPI 1225283450

NPI Information

NPI: 1225283450
Provider Name: MRS. KELLY GARDNER EDWARDS, RN, MSN, FNP/WHNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8210 RENAISSANCE PKWY
DURHAM, NC
ZIP 27713
Phone: (919) 425-0001
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MRS. Kelly Gardner Edwards, RN, MSN, FNP/WHNP-BC is a family nurse practitioner in Durham, NC with 16 years of experience. MRS. Kelly Gardner Edwards, RN, MSN, FNP/WHNP-BC NPI is 1225283450. 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:

8210 RENAISSANCE PKWY
DURHAM, NC
ZIP 27713-688
Phone: (919) 425-0001

The NPI 1225283450 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 12/2/2008 and was last updated on 1/16/2013.

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	363LW0102X	Nurse Practitioner	Women's Health	201837	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	201837	NORTH CAROLINA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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