Provider Demographics
NPI:1760664296
Name:KESLER, NANCY GAIL (FNP-BC)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:GAIL
Last Name:KESLER
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 DOVE LN
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28147-7844
Mailing Address - Country:US
Mailing Address - Phone:704-640-9806
Mailing Address - Fax:
Practice Address - Street 1:310 STATESVILLE BLVD STE 1
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144-2368
Practice Address - Country:US
Practice Address - Phone:704-637-1888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-27
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5005475363LF0000X
WV43226363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily