Individual
KELSEY CREEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9481 CADE LN, BAILEY, MS 39320-9314
(601) 616-9825
Mailing address
9481 CADE LN, BAILEY, MS 39320-9314
(601) 616-9825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905074
MS
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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