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CRYSTAL KELLY RN, FNP
NPI 1699152025
Nurse Practitioner - Family in Davidson, NC

Active since May 06, 2015
903 NORTHEAST DR, SUITE 301, DAVIDSON, NC 28036(704) 894-9309 Get Directions Write a Review

NPPES record last updated: May 6, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Crystal Kelly Rn, Fnp NPPES

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

CRYSTAL KELLY RN, FNP (NPI 1699152025) is an individual family provider in Davidson, North Carolina, licensed in North Carolina (200588) and active in the NPI registry since May 2015.

NPPES Registry Identity

NPI1699152025
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCRYSTAL KELLYCredential: RN, FNP
Location Address903 NORTHEAST DR, SUITE 301Davidson, NC 28036-7416
Mailing Address143 Draper DrStatesville, NC 28625-2541 · (704) 682-3194
Phone(704) 894-9309
Sole ProprietorYes
Enumeration DateMay 6, 2015
✔ NPI 1699152025 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 · 200588
903 NORTHEAST DR, Davidson, NC 28036
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

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

DR. BENJAMIN JAMES EPSTEIN DMSC, PA-C
Physician Assistant
903 NORTHEAST DR
DAVIDSON, NC 28036
Mecklenburg County (704) 894-9309
SOUTHLAKE PSYCHIATRY PC
Psychiatry & Neurology (Psychiatry)
903 NORTHEAST DR, SUITE 301
DAVIDSON, NC 28036
Mecklenburg County (704) 894-9309
CARINA WISE
Marriage & Family Therapist
903 NORTHEAST DR, SUITE 201
DAVIDSON, NC 28036
Mecklenburg County (704) 896-7776
KRISTIN DESSERT KIRK L.C.S.W.
Social Worker (Clinical)
903 NORTHEAST DR, SUITE 101
DAVIDSON, NC 28036
Mecklenburg County (704) 237-0421
ALLYSE RONAE MCNEIL
Counselor (Mental Health)
903 NORTHEAST DR
DAVIDSON, NC 28036
Mecklenburg County (704) 896-7776
MR. VIRGIL J FOSTER LCSW
Social Worker (Clinical)
903 NORTHEAST DR, SUITE 102
DAVIDSON, NC 28036
Mecklenburg County (704) 641-1172
MS. LISA ANN FIRULLO LPC
Counselor (Professional)
903 NORTHEAST DR, SUITE 301
DAVIDSON, NC 28036
Mecklenburg County (704) 941-9419
GREAT EXPECTATIONS COUNSELING SERVICES
Counselor (Mental Health)
903 NORTHEAST DR, SUITE 101
DAVIDSON, NC 28036
Mecklenburg County (704) 724-3525

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 Crystal Kelly's NPI number?

The NPI number for Crystal Kelly is 1699152025. It was assigned to this individual provider in the NPPES registry on May 6, 2015.

Where is Crystal Kelly located?

Crystal Kelly practices at 903 Northeast Dr Suite 301, Davidson, NC 28036. The listed phone number is (704) 894-9309.

What is Crystal Kelly'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 Crystal Kelly was last updated on May 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.