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

Mr. Marion Randy Kelly Jr., MSN, APRN, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1134992985

Mr. Marion Randy Kelly Jr., MSN, APRN, FNP-BC is a Nurse Practitioner in Charlotte, North Carolina. Qualified in 2023, 3 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in North Carolina.

Years since qualifying
3
Licensed in
NC
In the registry since
2023
What do these letters mean?
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

10344 Park Rd Ste 300
Charlotte, NC 28210-8505
Phone: (704) 228-6994
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1000 N Maitland Ave, Maitland, FL 32751-8406 — (689) 262-7372

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2023064441 (NC)

Record details

NPI number1134992985
Entity typeIndividual (Type 1)
GenderMale
Credentials MSN , APRN , FNP-BC
Sole proprietorYes
NPI enumeratedNovember 2, 2023
Last updated in NPPESDecember 17, 2025
Certification dateDecember 17, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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