Individual
ALISA BRITNEY KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
120 E MYRTLE ST, MAGNOLIA, MS 39652-2834
(601) 869-7330
(601) 783-5812
Mailing address
120 E MYRTLE ST, MAGNOLIA, MS 39652-2834
(601) 869-7330
(601) 783-5812
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903974
MS
Other
Enumeration date
07/04/2020
Last updated
12/23/2020
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