Individual
KELLIE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-C
Contact information
Practice address
860 SOUTH MADISON STREET, TUPELO, MS 38801
(662) 377-7150
(662) 377-7155
Mailing address
860 SOUTH MADISON STREET, TUPELO, MS 38801
(662) 377-7150
(662) 377-7155
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902777
MS
Other
Enumeration date
09/27/2018
Last updated
04/13/2023
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