Individual
KELSIE BOYKIN VERNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
320 MS-15, LOUISVILLE, MS 39339
(662) 773-7500
Mailing address
320 MS-15, LOUISVILLE, MS 39339
(662) 773-7500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
907784
MS
Other
Enumeration date
05/29/2025
Last updated
11/12/2025
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