Provider Demographics
NPI:1851985915
Name:KESLER, AUTUMN HUGHES (FNP)
Entity Type:Individual
Prefix:MS
First Name:AUTUMN
Middle Name:HUGHES
Last Name:KESLER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:MS
Other - First Name:AUTUMN
Other - Middle Name:MELISSA
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3320 WAKE FOREST RD STE 200
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-7300
Mailing Address - Country:US
Mailing Address - Phone:919-723-7948
Mailing Address - Fax:919-862-5104
Practice Address - Street 1:3320 WAKE FOREST RD STE 200
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-7300
Practice Address - Country:US
Practice Address - Phone:919-862-5100
Practice Address - Fax:919-862-5104
Is Sole Proprietor?:No
Enumeration Date:2021-03-01
Last Update Date:2021-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5014142363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily