Kelli S Fewell
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
5 River Bend Place Suite C
Flowood
, Mississippi 39232
Kelli S Fewell
Nurse Practitioner - Neonatal Nurse Practitioner - Neonatal (Critical Care)
5 River Bend Place Suite C
Flowood
, Mississippi 39232
(769) 251-5924
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About
Features
Specialties
- Nurse Practitioner - Neonatal
- Nurse Practitioner - Neonatal (Critical Care)
Languages spoken
- English
Location
First Address
- Kelli S Fewell
- P O Box 320039
- Flowood, MS
- Zip : 39232
- Fax : (769) 251-5924
- Phone : (601) 957-7345
Second Address
- Kelli S Fewell
- 5 River Bend Place Suite C
- Flowood, MS
- Zip : 39232
- Fax : (769) 251-5429
- Phone : (601) 957-7345
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | R879688 | MS |
| N | 363LN0005X | Nurse Practitioner - Neonatal (Critical Care) | R879688 | MS |
National Provider Identifier
| NPI | 1154684363 |
|---|---|
| Provider Name | Kelli S Fewell |
| First Address | Flowood, MS 39232 |
| Second Address | Flowood, MS 39232 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/06/2012 |
| Last Update Date | 16/04/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 04038362 | (05) | MS |
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.