Individual provider · Type 1 NPI

Kenyon Lee Draper, NP

Nurse Practitioner · Charlotte, NC

NPI number 1144573197 Active

Practice location

4815 Johnston Oehler Rd, Ste 100
Charlotte, NC 28269-1065

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice locations

  • 14214 Ballantyne Lake Rd, Ste 100, Charlotte, NC 28277-3372 · (704) 667-2650
  • 101 E W T Harris Blvd, Ste 5401, Charlotte, NC 28262-3485 · (704) 863-9700
  • 10226 Couloak Dr, Ste 100, Charlotte, NC 28216-7675 · (704) 801-7380
  • 9611 Sherrill Estates Rd, Ste B, Huntersville, NC 28078-6485 · (704) 801-1150

Specialties and licenses

TaxonomyCodeLicense
Adult Health Nurse Practitioner 363LA2200X5005928 (NC)
Family Nurse Practitioner 363LF0000X5005928 (NC)
Nurse Practitioner Primary 363L00000X5005928 (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 1144573197

Kenyon Lee Draper, NP's National Provider Identifier is 1144573197, issued on Oct 16, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Jul 15, 2024.