IndividualActive
Alisa Kelley, FNP-C
NPI 1023635166 · Family Nurse Practitioner · Magnolia, MS
Provider details
- NPI number
- 1023635166
- Entity type
- Individual
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- License
- 903974 (MS)
Practice location
120 E Myrtle St
Magnolia, MS 39652-2834
Phone: (601) 869-7330
Fax: (601) 783-5812
Mailing address
120 E Myrtle St
Magnolia, MS 39652-2834
Registry dates
- Enumerated
- 2020-07-04
- Last updated
- 2020-12-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.