KELLY LYNN VELASQUEZ

SOUTHAVEN, MS
NPI1922726512
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MS  905496)
Enumeration Date2022-08-18
Last Update Date2025-01-01
Business Address
Mrs. KELLY LYNN VELASQUEZ PMHNP
6858 SWINNEA RD BLDG 3B
SOUTHAVEN, MS 38671-9493
Phone number: 662-420-2418
Mailing Address
Mrs. KELLY LYNN VELASQUEZ PMHNP
1651 WOOD LANE DR
OLIVE BRANCH, MS 38654-7355
Phone number: 901-568-8843