Individual
MRS. AMANDA JODY JOHNSON-KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC
Contact information
Practice address
1905 S ADAMS ST, FULTON, MS 38843-8738
(662) 862-2165
(662) 862-6882
Mailing address
PO BOX 704, FULTON, MS 38843-0704
(662) 862-2165
(662) 862-6882
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R850493
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02639231
—
MS
01
—
25D0967349
CLIA
—
Enumeration date
09/15/2006
Last updated
06/06/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us