Individual provider · Type 1 NPI

Kelly Jackson Coleman, FNP

Nurse Practitioner · Matthews, NC

NPI number 1497107536 Active

Practice location

1401 Matthews Township Pkwy Ste 110
Matthews, NC 28105-5403

Fax (704) 316-3132

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 1718 E 4th St, Suite 501, Charlotte, NC 28204-3261 · (704) 343-9800

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X5008693 (NC)
Nurse Practitioner Primary 363L00000X5008693 (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 1497107536

Kelly Jackson Coleman, FNP's National Provider Identifier is 1497107536, issued on Jul 12, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Matthews, NC. The record was last updated on Feb 5, 2024.