CRYSTAL KELLY RN FNP NPI 1699152025

NPI Information

  • NPI: 1699152025
  • Provider Name: CRYSTAL KELLY, RN, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 903 NORTHEAST DR
    SUITE 301
    DAVIDSON, NC
    ZIP 28036
  • Phone: (704) 894-9309

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NPI Details

Crystal Kelly, RN, FNP is a family nurse practitioner in Davidson, NC. Crystal Kelly, RN, FNP NPI is 1699152025. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

903 NORTHEAST DR
SUITE 301
DAVIDSON, NC
ZIP 28036-416
Phone: (704) 894-9309

The enumeration date for this NPI number is 5/6/2015 and was last updated on 5/6/2015.

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
1363LF0000XNurse PractitionerFamily200588NORTH CAROLINAYes

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: 3/30/2025

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