Case, Kelli Nichols

Case, Kelli Nichols is an individual health care provider with primary practice located at 485 Valley Rd , Mocksville NC 27028-2074. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Case, Kelli Nichols can be contacted via phone (336) 751-8000.

Contact Information

Primary practice address
485 Valley Rd Mocksville NC 27028-2074
Phone: (336) 751-8000
Fax: (336) 751-8010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5003887 North Carolina

Profile Details

NPI number 1124290283
LBN Legal business name Case, Kelli Nichols
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2008
Last updated Dec 29th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124290283 NPPES
North Carolina MEDICAID 7000723

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