Werner, Kelly Jo
Werner, Kelly Jo is an individual health care provider with primary practice located at 2406 Blue Ridge Rd Suite 100, Raleigh NC 27607-6678. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Werner, Kelly Jo can be contacted via phone (919) 786-5001.Contact Information
Primary practice address
2406 Blue Ridge Rd Suite 100
Raleigh NC 27607-6678
Phone: (919) 786-5001
Fax: (919) 786-5051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 005000606 | North Carolina |
Profile Details
| NPI number | 1528024692 |
|---|---|
| LBN Legal business name | Werner, Kelly Jo |
| Credentials | Certified Pediatric Nurse Practitioner (CPNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
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 | 1528024692 | NPPES |
| North Carolina | Other | 005000606 | LICENSE |
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