Individual provider · Type 1 NPI

Kalisa Mickell, FNP

Family Nurse Practitioner · Tupelo, MS

NPI number 1013504067 Active

Practice location

830 S Gloster St
Tupelo, MS 38801-4934

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X904311 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1013504067

Kalisa Mickell, FNP's National Provider Identifier is 1013504067, issued on Dec 23, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Tupelo, MS. The record was last updated on Apr 7, 2021.