IndividualActive
Khadijah Phelps
NPI 1972496636 · Medical-Surgical Registered Nurse · Charlotte, NC
Provider details
- NPI number
- 1972496636
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 261584 (SC)
Specialties & taxonomies
Nursing Service Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
10628 Park Rd
Charlotte, NC 28210-8407
Phone: (704) 667-1000
Approximate (ZIP-level) locationGet directions
Mailing address
516 Cricket Chirp Ln
Elgin, SC 29045-8564
Additional practice locations (6)
- 1506 N Fant StAnderson, SC 29621-4708Phone: (864) 260-6995Fax: (864) 884-9909
- 7021 Saint Andrews Rd Ste 1Columbia, SC 29212-1177Phone: (803) 791-7175Fax: (803) 791-7176
- 127 Ben Casey Dr Ste 103Fort Mill, SC 29708-6600Phone: (502) 855-7200Fax: (502) 855-7201
- 10 Enterprise Blvd Ste 201Greenville, SC 29615-3554Phone: (864) 295-6399Fax: (864) 295-2337
- 9404 Highway 78 Ste 100Ladson, SC 29456-3909Phone: (502) 855-7200Fax: (502) 855-7201
- 279 E Kennedy StSpartanburg, SC 29302-1912Phone: (864) 583-0053Fax: (864) 583-0390
Registry dates
- Enumerated
- 2025-06-02
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.