Individual provider · Type 1 NPI

Kao Jalao Ly, NP

Nurse Practitioner · Kernersville, NC

NPI number 1164924858 Active

Practice location

1730 Kernersville Medical Pkwy Ste 204
Kernersville, NC 27284

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 500 Pineview Dr Ste 205, Kernersville, NC 27284-3814 · (336) 310-6115
  • 500 Pineview Dr Ste 205, Kernersville, NC 27284 · (336) 310-6115
  • 500 Pineview Dr Ste 205, Kernersville, NC 27284 · (336) 310-6115

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X5010359 (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 1164924858

Kao Jalao Ly, NP's National Provider Identifier is 1164924858, issued on Mar 8, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Kernersville, NC. The record was last updated on Jun 23, 2023.