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

Individual provider Family Nurse Practitioner · NPI 1851862734

Quintina B Petty, FNP is a Nurse Practitioner in Shelby, North Carolina. Qualified in 2018, 8 years ago. Practices with Lifesource of North Carolina, a 170-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
8
Licensed in
NC
In the registry since
2018
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

951 Wendover Height Dr
Shelby, NC 28150-3565
Phone: (704) 487-4677
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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 245972 (NC)

Record details

NPI number1851862734
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 17, 2018
Last updated in NPPESDecember 17, 2018

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Lifesource Of North Carolina — 170 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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