Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keltsie S. Kellum, FNP

Individual provider Family Nurse Practitioner · NPI 1700185006

Keltsie S. Kellum, FNP is a Nurse Practitioner in Jacksonville, North Carolina. Qualified in 2010, 16 years ago. Practices with Johnston Pain Management PA, a 16-clinician group, accepts Medicare assignment and offers telehealth. Licensed in North Carolina.

Years since qualifying
16
Licensed in
NC
In the registry since
2011
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

317 Western Blvd
Jacksonville, NC 28546-6338
Phone: (910) 577-2240
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 500597 (NC)

Record details

NPI number1700185006
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedMarch 25, 2011
Last updated in NPPESMarch 25, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Johnston Pain Management Pa — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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