KELLEY D WYANT FNP
NPI 1710334412
Nurse Practitioner in Gastonia, NC

Q: What is Kelley Wyant's NPI number?

The NPI number for Kelley Wyant is 1710334412. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Q: What is Kelley Wyant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelley Wyant was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.

Active since May 23, 2016

2525 COURT DR, GASTONIA, NC 28054(704) 834-3471(704) 834-2686 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Kelley D Wyant Fnp NPPES

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

KELLEY D WYANT FNP (NPI 1710334412) is an individual nurse practitioner in Gastonia, North Carolina, licensed in North Carolina (220138) and active in the NPI registry since May 2016.

NPPES Registry Identity

NPI1710334412

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKELLEY D WYANTCredential: FNP

Location Address2525 COURT DRGastonia, NC 28054-2140

Mailing Address2525 Court DrGastonia, NC 28054-2140 · (704) 834-3471 · Fax (704) 834-2686

Phone(704) 834-3471

Fax(704) 834-2686

Sole ProprietorNo

Enumeration DateMay 23, 2016

Last NPPES UpdateJune 23, 2016

✔ NPI 1710334412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NC · 220138

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

2525 COURT DR, Gastonia, NC 28054

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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.

DR. IAN OLUREMILEKUN COLE M.D.

Emergency Medicine