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Kathleen Kelly Peniston, NP
Psychiatric/Mental Health Nurse Practitioner in Charlotte, North Carolina
NPI 1346260254

Kathleen Kelly Peniston is a Psychiatric/Mental Health Nurse Practitioner based in Charlotte, NC and is specialized in Psychiatric/Mental Health. Kathleen Kelly Peniston practices in Charlotte, NC and has the professional credentials of NP. The NPI Number for Kathleen Kelly Peniston is 1346260254 and holds a License No. 950005 (North Carolina).

The current practice location address for Kathleen Kelly Peniston is 501 Billingsley Rd, Charlotte, NC and can be reached out via phone at 704-444-2400.

Location: 501 Billingsley Rd, Charlotte, NC, 28219-9305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1346260254
Provider Name
Kathleen Kelly Peniston
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
501 Billingsley Rd, Charlotte, NC, 28219-9305
Phone Number
704-444-2400
Fax Number
Provider Enumeration Date
07/20/2006
Last Update Date
08/17/2024
institution
Provider Business Practice Location Address Details
Address
501 Billingsley Rd
City
Charlotte
State
North Carolina
Zip
28211-1009
Phone Number
704-444-2400
Fax Number
person
Provider Business Mailing Address Details
Address
501 Billingsley Rd
City
Charlotte
State
North Carolina
Zip
28211-1009
Phone Number
704-444-2400
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
950005 (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
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
950005 (North Carolina)
Definition
Definition to come...
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