Individual provider · Type 1 NPI

Kellie Frazier

Nurse Practitioner · Kernersville, NC

NPI number 1043668916 Active

Practice location

1471 Jag Branch Blvd Unit 105
Kernersville, NC 27284-6963

Call (336) 277-6430 Map

Fax (336) 277-6448

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other practice locations

  • 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 · (336) 718-7224

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Nurse Practitioner Primary 363L00000X5008672 (NC)

Nurse Practitioner: (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 wit…

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About NPI 1043668916

Kellie Frazier's National Provider Identifier is 1043668916, issued on Jun 1, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kernersville, NC. The record was last updated on Sep 14, 2021.