Individual
LILLIAN KELLY BARNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
305 W MOODY ST, POPLARVILLE, MS 39470-7338
(601) 795-0659
(601) 579-5240
Mailing address
305 W MOODY ST, POPLARVILLE, MS 39470-7338
(601) 240-2070
(601) 795-9004
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902735
MS
363LF0000X
Family Nurse Practitioner
Primary
902735
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08322009
—
MS
Enumeration date
08/17/2018
Last updated
09/05/2024
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