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

MS. Kelli Maureen Wall, FNP-C

Individual provider Family Nurse Practitioner · NPI 1811368905

MS. Kelli Maureen Wall, FNP-C is a Family Nurse Practitioner in Charlotte, North Carolina. Works from 2 locations. Licensed in North Carolina.

Licensed in
NC
In the registry since
2015
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

110 Kildaire Farm Rd
Charlotte, NC 27518-8162
Phone: (919) 235-6575
Fax: (919) 235-6598
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5918 Illuminate Ave, Raleigh, NC 27616-4347 — (815) 302-2494

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5011726 (NC)

Record details

NPI number1811368905
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedOctober 14, 2015
Last updated in NPPESDecember 16, 2022
Certification dateDecember 14, 2022

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