Healthcare Provider Details

I. General information

NPI: 1023962172
Provider Name (Legal Business Name): KARLY MORGAN TEETS FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2026
Last Update Date: 02/27/2026
Certification Date: 02/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5311 N ROXBORO RD
DURHAM NC
27712-2227
US

IV. Provider business mailing address

7455 N 95TH AVE APT 1821
GLENDALE AZ
85305-1361
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 607-259-5542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5024044
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number276131
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: