person
Mrs. Amanda Jody Johnson-kelly, DNP,FNP-BC
Family Nurse Practitioner in Fulton, Mississippi
NPI 1457457814

Amanda Jody Johnson-kelly is a Family Nurse Practitioner based in Fulton, MS and is specialized in Family. Amanda Jody Johnson-kelly practices in Fulton, MS and has the professional credentials of DNP,FNP-BC. The NPI Number for Amanda Jody Johnson-kelly is 1457457814 and holds a License No. R850493 (Mississippi).

The current practice location address for Amanda Jody Johnson-kelly is 1905 S Adams St, Fulton, MS and can be reached out via phone at 662-862-2165 and via fax at 662-862-6882.

Location: 1905 S Adams St, Fulton, MS, 38843-0704
person
Provider Profile Details
NPI Number
1457457814
Provider Name
Amanda Jody Johnson-kelly
Credential
DNP,FNP-BC
Provider Entity Type
Individual
Gender
Female
Address
1905 S Adams St, Fulton, MS, 38843-0704
Phone Number
662-862-2165
Fax Number
662-862-6882
Provider Enumeration Date
09/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02639231 05 MS
25D0967349 01 CLIA
institution
Provider Business Practice Location Address Details
Address
1905 S Adams St
City
State
Zip
38843-8738
Phone Number
662-862-2165
Fax Number
662-862-6882
person
Provider Business Mailing Address Details
Address
1905 S Adams St
City
State
Zip
38843-8738
Phone Number
662-862-2165
Fax Number
662-862-6882
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R850493 (Mississippi)
Definition
Definition to come...
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