Individual
KELSEY BLAIR EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1645 W GOVERNMENT ST STE F, BRANDON, MS 39042-4602
(601) 829-6600
Mailing address
707 TORTOISE RDG, BRANDON, MS 39047-7055
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
903865
MS
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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