Individual
KELLI FOWLER MEADOWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP, FNP
Contact information
Practice address
5003 HARDY ST STE 200, HATTIESBURG, MS 39402-1331
(601) 261-5700
(601) 261-5777
Mailing address
5001 HARDY ST, ATTN: KARLA WILSON, ADMINISTRATION, HATTIESBURG, MS 39402-1308
(601) 268-8103
(601) 268-5008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-175405
AL
363LF0000X
Family Nurse Practitioner
Primary
908222
MS
Other
Enumeration date
08/07/2024
Last updated
03/04/2026
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