Individual provider · Type 1 NPI

Keisha Latrice Lide, NP-C

Nurse Practitioner · Charlotte, NC

NPI number 1376221887 Active

Practice location

10616 Metromont Pkwy Ste 210
Charlotte, NC 28269-7670

Call (704) 774-6569 Map

Fax (855) 308-2340

Mailing address

PO Box 360
Sylva, NC 28779-0360

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner	363LF0000X	5020183 (NC)
Nurse Practitioner Primary	363L00000X	5020183 (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 1376221887

Keisha Latrice Lide, NP-C's National Provider Identifier is 1376221887, issued on Jul 6, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Charlotte, NC. The record was last updated on Apr 2, 2026.