Individual
FELICIA KEYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
1250 W 1ST SUITE C, LAUREL, MS 39440-4312
(601) 274-4004
(601) 374-6884
Mailing address
216 S 13TH AVE # C, LAUREL, MS 39440-4226
(601) 274-4004
(601) 374-6884
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R876242
MS
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP134037
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R876242
LICENSE
MS
Enumeration date
07/31/2013
Last updated
03/13/2025
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