Individual provider · Type 1 NPI

Khadijah Lynn Phelps

Medical-Surgical Registered Nurse · Charlotte, NC

NPI number 1972496636 Active

Practice location

10628 Park Rd
Charlotte, NC 28210-8407

Mailing address

516 Cricket Chirp Ln
Elgin, SC 29045-8564

Other practice locations

  • 127 Ben Casey Dr Ste 103, Fort Mill, SC 29708-6600 · (502) 855-7200
  • 7021 Saint Andrews Rd Ste 1, Columbia, SC 29212-1177 · (803) 791-7175
  • 1506 N Fant St, Anderson, SC 29621-4708 · (864) 260-6995
  • 279 E Kennedy St, Spartanburg, SC 29302-1912 · (864) 583-0053
  • 10 Enterprise Blvd Ste 201, Greenville, SC 29615-3554 · (864) 295-6399
  • 9404 Highway 78 Ste 100, Ladson, SC 29456-3909 · (502) 855-7200

Specialties and licenses

TaxonomyCodeLicense
Medical-Surgical Registered Nurse Primary 163WM0705X261584 (SC)
Family Nurse Practitioner 363LF0000X31864 (SC)

Medical-Surgical Registered Nurse: Definition to come...

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About NPI 1972496636

Khadijah Lynn Phelps's National Provider Identifier is 1972496636, issued on Jun 2, 2025. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Charlotte, NC. The record was last updated on May 7, 2026.