Individual provider · Type 1 NPI

Kimberly Spain, FNP

Nurse Practitioner · Charlotte, NC

NPI number 1104312396 Active

Practice location

14214 Ballantyne Lake Rd, Ste 100
Charlotte, NC 28277-3372

Call (704) 667-2650 Map

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 10210 Couloak Dr, Ste E, Charlotte, NC 28216-7679 · (704) 801-2000
  • 5717 Albemarle Rd, Charlotte, NC 28212-1634 · (704) 563-2150
  • 5727 Prosperity Crossing Dr, Ste 1100, Charlotte, NC 28269-2206 · (704) 863-9930
  • 7810 Providence Rd, Ste 102, Charlotte, NC 28226-2954 · (704) 543-6636

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5011041 (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 1104312396

Kimberly Spain, FNP's National Provider Identifier is 1104312396, issued on Jul 10, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jan 20, 2021.