Individual
CALLIE KEIUNA MCNEIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30 CIRCLE J DR STE 1, LAUREL, MS 39440-1981
(601) 425-0092
(601) 425-0473
Mailing address
30 CIRCLE J DR STE 1, LAUREL, MS 39440-1981
(601) 425-0092
(601) 425-0473
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
906061
MS
363L00000X
Nurse Practitioner
906061
MS
363LA2100X
Acute Care Nurse Practitioner
Primary
224021
LA
Other
Enumeration date
08/15/2022
Last updated
07/30/2026
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