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NPI 1740174705

NPI 1740174705 : KELLY JEAN FRANCIS PMHNP-BC : CHARLOTTE, NC

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General NPI Number Information
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    NPI Number           |    1740174705
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    Entity Type          |    Individual 
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    Provider Name        |    KELLY JEAN FRANCIS PMHNP-BC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/04/2025
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    Last Update Date     |    01/15/2026
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Provider Practice Location Address
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    Address Line         |    1421 ORCHARD LAKE DR UNIT C 
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    City                 |    CHARLOTTE
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    State                |    NC
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    Zip                  |    28270-1475
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    Country              |    US
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    Telephone            |    704-844-0181
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    Fax                  |    904-701-6279
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Provider Business Mailing Address
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    Address Line         |    108 S PADALI CT 
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    City                 |    MT HOLLY
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    State                |    NC
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    Zip                  |    28120-1177
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    Country              |    US
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    Telephone            |    605-441-6531
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    163WP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Registered Nurse
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    License Number       |    280441
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    5023589
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    License Number State |    NC
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