Tina Marie Kelly
FNP-C | Nurse Practitioner
433 Copperfield Blvd Ne, Concord
North Carolina, 28025-2405
704-786-7770
Tina Marie Kelly is a Concord, North Carolina based nurse practitioner. Active license number of Tina Marie Kelly is 5005521 in North Carolina. Her current practice location is 433 Copperfield Blvd Ne, Concord. Patients can reach her at 704-786-7770 or can fax her at 704-971-0035. Tina Marie Kelly is FNP-C and her NPI number (Unique professional ID assigned by NPPES) is 1518253251.
Tina Marie Kelly 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:
Tina Marie Kelly speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Tina Marie Kelly |
| Specialization: | Nurse Practitioner (NP) |
| Gender: | Female |
| Credentials: | FNP-C |
| Practice Address: | 433 Copperfield Blvd Ne, Concord,
North Carolina, 28025-2405 |
| Phone: | 704-786-7770 |
| Fax: | 704-971-0035 |
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: | 1518253251 |
| NPI Enumeration Date: | 21 Jun, 2011 |
| NPI Last Update On: | 04 Dec, 2020 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Tina Marie Kelly are as mentioned below.
| License Number | Specialization | State | Status | |
| 5005521 | | North Carolina | Primary | |
| 17538 | Nurse Practitioner | South Carolina | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Tina Marie Kelly such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 7006561 | Medicaid | North Carolina | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Tina Marie Kelly
1300 Baxter St, Ste 215
Charlotte, North Carolina |
| Zip: | 28204-3053 |
| Phone Number: | 704-332-0396 |
| Fax Number: | 704-971-0035 |
Patients can reach Tina Marie Kelly at
433 Copperfield Blvd Ne, Concord, North Carolina or can
call to book an appointment on 704-786-7770.
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.