SHIREISLA DENAE KELLY NP
NPI 1972439578
Nurse Practitioner - Family in Pearl, MS
Active since June 22, 2026
About Shireisla Denae Kelly Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHIREISLA DENAE KELLY NP (NPI 1972439578) is an individual family provider in Pearl, Mississippi, licensed in Mississippi (908520) and active in the NPI registry since June 2026.
NPPES Registry Identity
NPI1972439578
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHIREISLA DENAE KELLYCredential: NP
Location Address110 CROSS PARK DRPearl, MS 39208-9016
Mailing Address855 Springfield CtRidgeland, MS 39157-1583 · (601) 278-4933
Phone(601) 397-6731
Sole ProprietorYes
Enumeration DateJune 22, 2026
NPPES CertifiedJune 22, 2026
✔ NPI 1972439578 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · 908520
110 CROSS PARK DR, Pearl, MS 39208
Other Providers at the Same Location
The following 3 providers are registered at the same or a nearby location.
Public Health or Welfare
110 CROSS PARK DR, SUITE C
PEARL, MS 39208
PEARL, MS 39208
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972439578, enumerated as an "individual" on June 22, 2026.
The provider is located at 110 CROSS PARK DR PEARL, MS 39208 and the phone number is (601) 397-6731.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
