Individual provider · Type 1 NPI

Kelly Walton Tanner, FNP

Family Nurse Practitioner · Gastonia, NC

NPI number 1679302327 Active

Practice location

111 E 3rd Ave
Gastonia, NC 28052-4317

Fax (704) 874-0065

Mailing address

PO Box 604050
Charlotte, NC 28260-4050

Other practice locations

  • 501 N Main St, Salisbury, NC 28144-4303 · (980) 330-8048

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X5020562 (NC)
Family Nurse Practitioner Primary 363LF0000X5020562 (NC)

Family Nurse Practitioner: Definition to come...

17 other providers at this address

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About NPI 1679302327

Kelly Walton Tanner, FNP's National Provider Identifier is 1679302327, issued on Jul 31, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gastonia, NC. The record was last updated on Sep 16, 2025.