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Susannah Kelly Short, FNP
Nurse Practitioner in Charlotte, North Carolina
NPI 1063044063

Susannah Kelly Short is a Nurse Practitioner based in Charlotte, NC. Susannah Kelly Short practices in Charlotte, NC and has the professional credentials of FNP. The NPI Number for Susannah Kelly Short is 1063044063 and holds a License No. 5012828 (North Carolina).

The current practice location address for Susannah Kelly Short is 1426 E Morehead St, Charlotte, NC and can be reached out via phone at 704-446-6090.

Location: 1426 E Morehead St, Charlotte, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063044063
Provider Name
Susannah Kelly Short
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
1426 E Morehead St, Charlotte, NC, 28219-9305
Phone Number
704-446-6090
Fax Number
Provider Enumeration Date
02/07/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1426 E Morehead St
City
Charlotte
State
North Carolina
Zip
28204-2926
Phone Number
704-446-6090
Fax Number
person
Provider Business Mailing Address Details
Address
1426 E Morehead St
City
Charlotte
State
North Carolina
Zip
28204-2926
Phone Number
704-446-6090
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5012828 (North Carolina)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
5012828 (North Carolina)
Definition
Definition to come...
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