Individual provider · Type 1 NPI

Kelsi Nicole Chisom, FNP

Nurse Practitioner · Huntersville, NC

NPI number 1598529448 Active

Practice location

9930 Kincey Ave Ste 200
Huntersville, NC 28078-6541

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

  • 456 N Main St, Hemingway, SC 29554-9190 · (843) 558-9319
  • 2200 Crow Ln Ste 303A, Myrtle Beach, SC 29577-1663 · (843) 848-5310
  • 701 S Morgan Ave, Andrews, SC 29510-2959 · (843) 264-5253
  • 4040 Highway 17 Unit 202, Murrells Inlet, SC 29576-5098 · (843) 235-3131
  • 4040 Highway 17 Unit 202, Murrells Inlet, SC 29576-5098 · (843) 235-3131
  • 9653 Ocean Hwy, Pawleys Island, SC 29585-7425 · (843) 235-3131
  • 2200 Crow Ln, Myrtle Beach, SC 29577-1663 · (843) 235-3131
  • 4070 Highway 17, Murrells Inlet, SC 29576-5033 · (843) 235-3131
  • 9653 Ocean Hwy, Pawleys Island, SC 29585-7425 · (843) 235-3131
  • 1014 Huger Dr, Georgetown, SC 29440-3322 · (843) 235-3131

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X28364 (SC)
Nurse Practitioner Primary 363L00000X5022630 (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 1598529448

Kelsi Nicole Chisom, FNP's National Provider Identifier is 1598529448, issued on Feb 12, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Huntersville, NC. The record was last updated on Jan 30, 2026.