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KESHIA PETTUS
NPI 1629229851
Nurse Practitioner - Family in Charlotte, NC

Active since October 07, 2008
10515 MALLARD CREEK RD, CHARLOTTE, NC 28262(704) 547-9739 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Keshia Pettus NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KESHIA PETTUS (NPI 1629229851) is an individual family provider in Charlotte, North Carolina, licensed in North Carolina (5004129) and active in the NPI registry since October 2008.

NPPES Registry Identity

NPI1629229851
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKESHIA PETTUS
Location Address10515 MALLARD CREEK RDCharlotte, NC 28262-9785
Mailing Address10515 Mallard Creek RdCharlotte, NC 28262-9785
Phone(704) 547-9739
Sole ProprietorNo
Enumeration DateOctober 7, 2008
Last NPPES UpdateJanuary 23, 2009
✔ NPI 1629229851 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NC · 5004129
10515 MALLARD CREEK RD, Charlotte, NC 28262
Open in Google Maps ↗

Other Identifiers 1

Medicare PIN2593399NC

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN PRICE FNP
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-9739
CIERRA RENEE BROWN
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (866) 389-2727
MS. SAMANTHA WILLIAMS NP
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 494-3466
MRS. SHELBY KERR BARKLEY
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-9739
KAREN DENICE WILKINS APRN, FNP-BC
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (866) 389-2727
AMANDA ZIEGLER
Physician Assistant
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-9739
MS. MELINDA DESSIEUX APRN
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (866) 389-2727
MARY CAROLINE TURNER FNP
Nurse Practitioner (Family)
10515 MALLARD CREEK RD
CHARLOTTE, NC 28262
Mecklenburg County (704) 547-9739

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keshia Pettus's NPI number?

The NPI number for Keshia Pettus is 1629229851. It was assigned to this individual provider in the NPPES registry on October 7, 2008.

Where is Keshia Pettus located?

Keshia Pettus practices at 10515 Mallard Creek Rd, Charlotte, NC 28262. The listed phone number is (704) 547-9739.

What is Keshia Pettus's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Keshia Pettus was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.