Provider Demographics
NPI:1386856649
Name:KELL, VICTORIA L (CNP)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:L
Last Name:KELL
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:200 DOCTORS DR STE F
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28546-6308
Mailing Address - Country:US
Mailing Address - Phone:910-353-1499
Mailing Address - Fax:910-355-0404
Practice Address - Street 1:200 DOCTORS DR STE F
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-6308
Practice Address - Country:US
Practice Address - Phone:910-353-1499
Practice Address - Fax:910-355-0404
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2022-11-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC005001019363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care