Provider Demographics
NPI:1154661403
Name:ERSKINE, KELLY B (NP)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:B
Last Name:ERSKINE
Suffix:
Gender:
Credentials:NP
Other - Prefix:
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Other - Middle Name:
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Other - Last Name Type:
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Mailing Address - Street 1:5221 PARAMOUNT PKWY STE 220
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-5490
Mailing Address - Country:US
Mailing Address - Phone:984-215-4111
Mailing Address - Fax:
Practice Address - Street 1:522 S VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:EDEN
Practice Address - State:NC
Practice Address - Zip Code:27288-5019
Practice Address - Country:US
Practice Address - Phone:336-627-1117
Practice Address - Fax:336-627-5502
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5006082363LF0000X, 363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5006082OtherNC NURSING BOARD