KELLI S FEWELL NNP
NPI 1154684363
Nurse Practitioner in Magee, MS

Active since June 21, 2012
610 3RD ST SW, MAGEE, MS 39111(601) 439-7221(601) 721-1773 Get Directions Write a Review

NPPES record last updated: May 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kelli S Fewell Nnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLI S FEWELL NNP (NPI 1154684363) is an individual nurse practitioner in Magee, Mississippi, licensed in Mississippi (R879688) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1154684363
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELLI S FEWELLCredential: NNP
Location Address610 3RD ST SWMagee, MS 39111-3994
Mailing Address610 3rd St SwMagee, MS 39111-3994 · (601) 439-7221 · Fax (601) 721-1773
Fax(601) 721-1773
Sole ProprietorNo
Enumeration DateJune 21, 2012
Last NPPES UpdateMay 23, 2024
NPPES CertifiedMay 23, 2024
NPI 1154684363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MS · R879688
Definition

(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 with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · NeonatalTaxonomy 363LN0000X · License R879688 (MS)
Also ListedNurse Practitioner · Neonatal, Critical CareTaxonomy 363LN0005X · License R879688 (MS)
610 3RD ST SW, Magee, MS 39111

Other Identifiers 2

Medicaid04038362MS
Medicaid004038362MS

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
610 3RD ST SW
MAGEE, MS 39111

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154684363, enumerated as an "individual" on June 21, 2012.

The provider is located at 610 3RD ST SW MAGEE, MS 39111 and the phone number is (601) 439-7221.

Nurse Practitioner with taxonomy code 363L00000X.

The provider might be accepting Accepts: Molina Healthcare, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to verify.