Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SHIREISLA DENAE KELLY NP
NPI 1972439578
Nurse Practitioner - Family in Pearl, MS

Q: What is Shireisla Kelly's NPI number?

The NPI number for Shireisla Kelly is 1972439578. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Q: What is Shireisla Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Shireisla Kelly was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 22, 2026

110 CROSS PARK DR, PEARL, MS 39208(601) 397-6731 Get Directions Write a Review

NPPES record added: June 22, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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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

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Other Providers at the Same Location NPPES 3

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

MISSISSIPPI STATE DEPARTMENT OF HEALTH

Public Health or Welfare

110 CROSS PARK DR, SUITE C
PEARL, MS 39208

Rankin County (601) 939-0450

MONIKA V WILSON

Massage Therapist

110 CROSS PARK DR
PEARL, MS 39208

Rankin County (601) 506-5784

UNIVERS MEDICAL MASSAGE

Massage Therapist

110 CROSS PARK DR
PEARL, MS 39208

Rankin County (601) 506-5784

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shireisla Kelly's NPI number?

The NPI number for Shireisla Kelly is 1972439578. It was assigned to this individual provider in the NPPES registry on June 22, 2026.

Where is Shireisla Kelly located?

Shireisla Kelly practices at 110 Cross Park Dr, Pearl, MS 39208. The listed phone number is (601) 397-6731.

What is Shireisla Kelly's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Shireisla Kelly was last updated on June 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.