Individual
KANISHA MIKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
1720A MEDICAL PARK DR STE 340-A, BILOXI, MS 39532-2129
(228) 265-0539
Mailing address
11429 CAMDEN COURT CIR, GULFPORT, MS 39503-5758
(228) 265-0539
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
908279
MS
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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