KALISA MICKELL

TUPELO, MS
NPI1013504067
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  904311)
Enumeration Date2020-12-23
Last Update Date2021-04-07
Business Address
KALISA MICKELL FNP
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-3000
Mailing Address
KALISA MICKELL FNP
830 S GLOSTER ST
TUPELO, MS 38801-4934
Phone number: 662-377-3000
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