Individual provider · Type 1 NPI
Kelly Lee Glisson, NP
Nurse Practitioner · Wilmington, NC
Practice location
2421 Silver Stream Ln
Wilmington, NC 28401-7684
Fax (910) 251-2067
Mailing address
PO Box 751069, Ecu Physicians
Charlotte, NC 28275-1069
Other practice locations
- 517 Moye Blvd, Ecu Physicians Medicine And Peds Clinic, Greenville, NC 27834-2849 · (252) 744-0766
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 229280 (NC) |
| Nurse Practitioner Primary | 363L00000X | 5006909 (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 1144635376
Kelly Lee Glisson, NP's National Provider Identifier is 1144635376, issued on Jun 26, 2014. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilmington, NC. The record was last updated on Jan 17, 2020.