Katelynn Pannell
Urologist Nurse Practitioner
499 S Gloster St Ste A-1
Tupelo
, Mississippi 38801-5539
Katelynn Pannell
Urologist Nurse Practitioner
499 S Gloster St Ste A-1
Tupelo
, Mississippi 38801-5539
(662) 322-2758
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About
Features
Specialties
- Urologist
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Katelynn Pannell
- 1655 Wood Rd
- Fulton, MS
- Zip : 38843-7700
- Phone : (662) 322-2758
Second Address
- Katelynn Pannell
- 499 S Gloster St Ste A-1
- Tupelo, MS
- Zip : 38801-5539
- Phone : (662) 432-0700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208800000X | Urologist | 1508886805 | MS |
| Y | 363L00000X | Nurse Practitioner | 904178 | MS |
National Provider Identifier
| NPI | 1013515667 |
|---|---|
| Provider Name | Katelynn Pannell |
| First Address | Fulton, MS 38843-7700 |
| Second Address | Tupelo, MS 38801-5539 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 15/10/2020 |
| Last Update Date | 05/10/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.