Stockton-Drum, Kelly Jo
Stockton-Drum, Kelly Jo is an individual health care provider with primary practice located at 3975 Robinson Rd , Newton NC 28658. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Stockton-Drum, Kelly Jo can be contacted via phone (828) 466-0466.Contact Information
Primary practice address
3975 Robinson Rd
Newton NC 28658
Phone: (828) 466-0466
Fax: (828) 466-8862
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 5005167 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 5005167 | North Carolina |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 5005167 | North Carolina |
Profile Details
NPI number | 1386936946 |
---|---|
LBN Legal business name | Stockton-Drum, Kelly Jo |
Credentials | ANP-C,GNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2011 |
Last updated | Mar 7th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386936946 | NPPES |
North Carolina | MEDICAID | 7004895 | |
North Carolina | Other | 203866 | |
North Carolina | Other | 5005167 | |
North Carolina | Other | 19N0H |
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