Kelly Walton Tanner
FNP | Nurse Practitioner
111 E 3rd Ave, Gastonia
North Carolina, 28052-4317
704-874-3300
Kelly Walton Tanner is a Gastonia, North Carolina based nurse practitioner. Active license number of Kelly Walton Tanner is 5020562 for Family in North Carolina. Her current practice location is 111 E 3rd Ave, Gastonia. Patients can reach her at 704-874-3300 or can fax her at 704-874-0065. Kelly Walton Tanner is FNP and her NPI number (Unique professional ID assigned by NPPES) is 1679302327.
Kelly Walton Tanner has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Kelly Walton Tanner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kelly Walton Tanner |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP |
| Practice Address: | 111 E 3rd Ave, Gastonia,
North Carolina, 28052-4317 |
| Phone: | 704-874-3300 |
| Fax: | 704-874-0065 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1679302327 |
| NPI Enumeration Date: | 31 Jul, 2024 |
| NPI Last Update On: | 16 Sep, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kelly Walton Tanner are as mentioned below.
| License Number | Specialization | State | Status | |
| 5020562 | Family | North Carolina | Primary | |
| 5020562 | Nurse Practitioner | North Carolina | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kelly Walton Tanner
Po Box 604050,
Charlotte, North Carolina |
| Zip: | 28260-4050 |
| Phone Number: | 980-330-6808 |
| Fax Number: | 980-330-6938 |
Patients can reach Kelly Walton Tanner at
111 E 3rd Ave, Gastonia, North Carolina or can
call to book an appointment on 704-874-3300.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.