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Kelly Lee Glisson, NP
Nurse Practitioner in Wilmington, North Carolina
NPI 1144635376

Kelly Lee Glisson is a Nurse Practitioner based in Charlotte, NC. Kelly Lee Glisson practices in Wilmington, NC and has the professional credentials of NP. The NPI Number for Kelly Lee Glisson is 1144635376 and holds a License No. 229280 (North Carolina).

The current practice location address for Kelly Lee Glisson is 2421 Silver Stream Ln, Wilmington, NC and can be reached out via phone at 910-341-3300 and via fax at 910-251-2067.

Location: 2421 Silver Stream Ln, Wilmington, NC, 28275-1069
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144635376
Provider Name
Kelly Lee Glisson
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
2421 Silver Stream Ln, Wilmington, NC, 28275-1069
Phone Number
910-341-3300
Fax Number
910-251-2067
Provider Enumeration Date
06/26/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
188F4 01 NC BCBSNC
1144635376 05 NC
institution
Provider Business Practice Location Address Details
Address
2421 Silver Stream Ln
City
Wilmington
State
North Carolina
Zip
28401-7684
Phone Number
910-341-3300
Fax Number
910-251-2067
person
Provider Business Mailing Address Details
Address
2421 Silver Stream Ln
City
Wilmington
State
North Carolina
Zip
28401-7684
Phone Number
910-341-3300
Fax Number
910-251-2067
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
5006909 (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.
229280 (North Carolina)
Definition
Definition to come...
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