MS. KELLI MAUREEN WALL (NPI# 1811368905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811368905 |
| Entity Type | Individual |
| Full Name | MS. KELLI MAUREEN WALL |
| Credential | FNP-C |
| Practice Address |
11911 Us 70 Business Hwy W Clayton NC 27520-2144 |
| Practice Telephone | 8663892727 |
| Mailing Telephone | 8663892727 |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
5011726 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 100 College Dr Bldg 700, Weldon, NC 27890 | 2525788685 | 2525362258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720594468 | Kelli O'rourke Wall | Marriage & Family Therapist | 1032 Walnut St, Napa, CA 94559-2210 | 2017-12-18 |
| Street Address |
11911 US 70 BUSINESS HWY W |
| City | CLAYTON |
| State | NC |
| Zip Code | 27520-2144 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093000135 | Jennifer Lynn Low | Pharmacist | 11911 Us 70 Business Hwy W, Clayton, NC 27520-2144 | 2011-06-16 |
| 1780233155 | Yuliya Benn | Nurse Practitioner | 11911 Us 70 Business Hwy W, Clayton, NC 27520-2144 | 2019-09-09 |
| 1245792837 | Tiffany Anne Greenwood | Nurse Practitioner | 11911 Us 70 Business Hwy W, Clayton, NC 27520 | 2019-04-02 |
| 1356724512 | Reina Liane Fink | Pharmacist | 11911 Us 70 Business Hwy W, Clayton, NC 27520-2144 | 2015-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336750959 | Ebony Nichole Sanders | Driver | 312 Kilgo, Clayton, NC 27520 | 2020-08-17 |
| 1831701382 | Deawna Jackson | Social Worker | 205 Gracie Lane, Clayton, NC 27520 | 2020-08-17 |
| 1952947798 | Mac Partners LLC | Home Health | 10027 Hwy 70 Business, Suite B, Clayton, NC 27520 | 2019-11-26 |
| 1386291102 | Benjamin R Anderson | Physician Assistant | 2138 Nc 42, Clayton, NC 27520 | 2019-08-26 |
| 1396217923 | Lindsey R. Williams Dds, Pa | Dentist | 45 Shotwell Rd., Clayton, NC 27520 | 2018-12-20 |
| 1063987303 | Christopher James Lane | Physician Assistant | 2076 Nc 42 W, Suite 230, Clayton, NC 27520 | 2018-10-12 |
| 1245733971 | Cordelia O Emebo | Pharmacist | 11360 Old Us Hwy 70 West, Clayton, NC 27520 | 2018-03-08 |
| 1487166906 | Kendall Bonot Rodgers | Physician Assistant | 11491 Us 70 Bus Hwy W, Clayton, NC 27520 | 2017-10-25 |
| 1033620828 | Laura Nguyen | Physician Assistant | 2076 Nc-42, Suite 230, Clayton, NC 27520 | 2017-10-19 |
| 1467974394 | Liliana Galvan | Social Worker | 510 W Main St., Suit 100, Clayton, NC 27520 | 2017-07-12 |
| Find all providers in zip 27520 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992306708 | Paula Sue Brown | Nurse Practitioner | 1020 N Lawson Blvd, Clayton, OK 74536-0219 | 2020-11-06 |
| 1740881200 | Guylante Jeune | Nurse Practitioner | 121 E Howard St, Clayton, NJ 08312-1237 | 2020-11-02 |
| 1902431885 | Nichole Parker Wilson | Nurse Practitioner | 37 Pineville Blvd, Clayton, NC 27527-9355 | 2020-03-11 |
| 1275183352 | Jennifer L Janes | Nurse Practitioner | 7542 Byron Pl Apt 2, Clayton, MO 63105-2788 | 2019-09-19 |
| 1487214185 | Meredith-scott Powell Baker | Nurse Practitioner | 34 Healthpark Way Ste 100, Clayton, NC 27520-4497 | 2019-06-17 |
| 1154803609 | Natalie Nicole Johnson- Lykes | Nurse Practitioner | 379 Al- 239, Clayton, AL 36016 | 2018-08-31 |
| 1639608086 | Favor Healthcare Practice | Nurse Practitioner | 1789 Alley Corner Rd, Clayton, DE 19938 | 2017-06-08 |
| 1376963975 | Stephane Sia | Nurse Practitioner | 564 Coldwater Dr, Clayton, DE 19938-3905 | 2014-04-22 |
| 1992823082 | Lora D Davis | Nurse Practitioner | 935 Shotwell Rd Ste 108, Clayton, NC 27520-5598 | 2007-03-27 |
| 1841322070 | Robin Renee Pratola | Nurse Practitioner | 1001 Sewell Branch Rd, Clayton, DE 19938 | 2007-03-12 |
| Find all providers in CLAYTON | ||||
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| 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.