Individual provider · Type 1 NPI

Kelli Stewart, FNP-BC

Nurse Practitioner · Macon, MS

NPI number 1790665495 Active

Practice location

222 Lindley Rd
Macon, MS 39341-8846

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X907732 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1790665495

Kelli Stewart, FNP-BC's National Provider Identifier is 1790665495, issued on Sep 3, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Macon, MS. The record was last updated on Sep 3, 2025.