person
Kalisa Mickell, FNP
Family Nurse Practitioner in Tupelo, Mississippi
NPI 1013504067

Kalisa Mickell is a Family Nurse Practitioner based in Tupelo, MS and is specialized in Family. Kalisa Mickell practices in Tupelo, MS and has the professional credentials of FNP. The NPI Number for Kalisa Mickell is 1013504067 and holds a License No. 904311 (Mississippi).

The current practice location address for Kalisa Mickell is 830 S Gloster St, Tupelo, MS and can be reached out via phone at 662-377-3000.

Location: 830 S Gloster St, Tupelo, MS, 38801-4934
person
Provider Profile Details
NPI Number
1013504067
Provider Name
Kalisa Mickell
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
830 S Gloster St, Tupelo, MS, 38801-4934
Phone Number
662-377-3000
Fax Number
Provider Enumeration Date
12/23/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-3000
Fax Number
person
Provider Business Mailing Address Details
Address
830 S Gloster St
City
State
Zip
38801-4934
Phone Number
662-377-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
904311 (Mississippi)
Definition
Definition to come...
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