MRS. KELLY GARDNER EDWARDS


Address: 8210 Renaissance Pkwy, Durham, NC 27713-6688
Phone: 9194250001

MRS. KELLY GARDNER EDWARDS (NPI# 1225283450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1225283450
Entity Type Individual
Full Name MRS. KELLY GARDNER EDWARDS
Credential RN, MSN, FNP/WHNP-BC
Practice Address 8210 Renaissance Pkwy
Durham
NC 27713-6688
Practice Telephone 9194250001
Mailing Telephone 9194250001
Enumeration Date 2008-12-02
Last Update Date 2013-01-16
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
201837 NC Physician Assistants & Advanced Practice Nursing Providers
N 363LW0102X Nurse Practitioner
Specialization: Women's Health
201837 NC Physician Assistants & Advanced Practice Nursing Providers

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1285880724 Kelly D. Edwards Nurse Practitioner 1110 Highlands Plaza Dr East, Ste 300, Saint Louis, MO 63110-1353 2008-08-15
1346389483 Kelly Roxanne Edwards Physical Therapist 1150 W Morton Ave Ste B, Porterville, CA 93257 2007-02-05
1245871201 Kelly Harold Edwards Counselor 4807 Spicewood Springs Rd, Building 1, #1140, Austin, TX 78759 2019-10-01
1720447352 Kelly Edwards Nurse Anesthetist, Certified Registered 3333 Cattlemen Rd, Sarasota, FL 34232-6056 2016-02-10
1548670136 Kelly Edwards Registered Nurse 908 N Elm St, Suite 109, Hinsdale, IL 60521-3635 2014-05-05
1063787208 Kelly Edwards Case Manager/Care Coordinator 6701 Highway 67 Bldg 4, Benton, AR 72015-8909 2012-03-21
1588944243 Kelly Ann Edwards Registered Nurse 8420 W Bryn Mawr Ave, Suite 300, Chicago, IL 60631-3479 2011-08-25

Office Location

Street Address 8210 RENAISSANCE PKWY
City DURHAM
State NC
Zip Code 27713-6688

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740261759 Shauna Marlene Coleman Nurse Practitioner 8210 Renaissance Pkwy, Durham, NC 27713-6688 2005-11-07
1942807722 Brock Richardson Pharmacist 8210 Renaissance Pkwy, Durham, NC 27713-6688 2020-10-05
1598269326 Rtp Vision Od Pa Optometrist 8210 Renaissance Pkwy, Durham, NC 27713-6688 2018-03-19
1710377361 Andrew Moluf Pharmacy Technician 8210 Renaissance Pkwy, Durham, NC 27713-6688 2015-02-03
1306236955 Rian Bigelow Pharmacy Technician 8210 Renaissance Pkwy, Durham, NC 27713-6688 2015-02-03
1093118739 Laura Ramsdell Pharmacist 8210 Renaissance Pkwy, Durham, NC 27713-6688 2014-10-08
1215277025 Inview Eye Care Optometrist 8210 Renaissance Pkwy, Durham, NC 27713-6688 2013-02-15
1336415017 New Vision Eye Care, Od Pa Optometrist 8210 Renaissance Pkwy, Durham, NC 27713-6688 2012-03-28
1881981686 Jennifer Barker White Pharmacist 8210 Renaissance Pkwy, T-2069, Durham, NC 27713-6688 2011-06-30
1477849495 Emilie Helen Raddin Pharmacist 8210 Renaissance Pkwy, Durham, NC 27713-6688 2011-06-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558977074 Zoe Wellness Clinic/Center 5322 Nc 55, 102, Durham, NC 27713 2020-09-21
1194352542 Mariah Davis Counselor 1822 East Hwy Nc 54, Suite 300, Durham, NC 27713 2020-03-25
1316589138 Monarch Community/Behavioral Health 1513 Piperwood Court, Durham, NC 27713 2019-10-14
1205486081 Lisa Mesmer Barnes Nurse Practitioner 5309hwy 55, Suite 105, Durham, NC 27713 2019-09-13
1497315352 Mary Therese Wood Social Worker 1822 E Highway 54, Suite 300, Durham, NC 27713 2019-06-13
1720558307 Kevin D Simmons Counselor 1822 Nc Hwy 54 Suite 300, Durham, NC 27713 2018-11-27
1790265585 Kelli Cryer Counselor 54 E Nc Hwy 1822, Suite 300, Durham, NC 27713 2018-08-21
1477039253 Mahavir Rx, LLC Pharmacy 6216 Fayetteville Rd Ste 105, Durham, NC 27713 2018-07-16
1811482862 Tessa Taylor Dentist 2515 E Nc Highway 54 Ste 2000, Durham, NC 27713 2018-06-22
1013401579 Emily Louise Haller Counselor 1822 E Hwy 54, Suite 300, Durham, NC 27713 2018-06-19
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245830215 Whitney Rains Taheri Nurse Practitioner 3004 Tower Blvd, Durham, NC 27707-2542 2020-10-29
1306460340 Francia Elena Marin Nurse Practitioner 6009 Garrett Rd, Durham, NC 27707-5349 2020-06-05
1154959658 Allyson Kaye-winston Scott Nurse Practitioner 108 Oakmont Ave, Durham, NC 27713-1558 2020-03-30
1245866235 Rosalyn Carson Nurse Practitioner 3710 Shannon Rd # 52570, Durham, NC 27707-6327 2020-03-21
1730726498 Georgia Darby Smith Nurse Practitioner 20 Duke Medicine Circle Clinic 2-2 Gyn-oncology, Durham, NC 27710-0001 2019-12-02
1639728801 Tyra Tameka Gray Nurse Practitioner 225 Lodestone Dr, Durham, NC 27703-6634 2019-09-10
1134781453 Godwin C Nweke Nurse Practitioner 3632 Ranbir Dr, Durham, NC 27713-1793 2019-07-08
1114586948 Hadja Thiam Nurse Practitioner 40 Medicine Circle Clinic 2b, Durham, NC 27710-0001 2019-06-05
1649764846 Kelly Johanna Valencia Nurse Practitioner 2301 Erwin Road Duke North Box # 3677, Durham, NC 27710 2018-06-20
1013434257 Stephanie Howard Spaulding Nurse Practitioner 40 Duke Medical Cir # 1j, Durham, NC 27710-3006 2017-08-28
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Competitor

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City DURHAM
Zip Code 27713

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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