Kalisa Mickell, FNP
NPI #1013504067 in Tupelo, Mississippi
Provider Information
- NPI Number
- 1013504067
- Entity Type
- Individual
- Name
- Kalisa Mickell, FNP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- FNP
- Enumeration Date
- Dec 23, 2020
- Last Updated
- Apr 7, 2021
Practice Location
- Address
- 830 S GLOSTER ST
- City
- Tupelo
- State
- Mississippi
- ZIP Code
- 38801-4934
- Phone
- (662) 377-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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