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

Keshia Pettus

Individual provider Family Nurse Practitioner · NPI 1629229851

Keshia Pettus is a Family Nurse Practitioner in Charlotte, North Carolina. Licensed in North Carolina. Registered with an NPI since 2008.

Licensed in
NC
In the registry since
2008

Practice location Address checks out

10515 Mallard Creek Rd
Charlotte, NC 28262-9785
Phone: (704) 547-9739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5004129 (NC)

Record details

NPI number1629229851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2008
Last updated in NPPESJanuary 23, 2009

Other providers in Charlotte