LAURA NICOLE KELLEWAY


Address: 23 County Road 205, Oxford, MS 38655-9794
Phone: 9012689862

LAURA NICOLE KELLEWAY (NPI# 1710522198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710522198
Entity Type Individual
Full Name LAURA NICOLE KELLEWAY
Other Name LAURA NICOLE HEABERLIN
Credential FNP-C
Practice Address 23 County Road 205
Oxford
MS 38655-9794
Practice Telephone 9012689862
Mailing Telephone 9012689862
Enumeration Date 2019-11-09
Last Update Date 2019-11-09
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
903033 MS Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 23 COUNTY ROAD 205
City OXFORD
State MS
Zip Code 38655-9794

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1861058075 Tomiko D Mackey Social Worker 100 Carriage Cove, Oxford, MS 38655 2019-05-13
1174090039 Derionne Brooks Specialist/Technologist 972 Hathorn Road, University, MS 38655 2018-10-30
1497236327 Providence Companion Care Nurse's Aide 317 Heritage Dr Ste 3b, Oxford, MS 38655 2018-08-28
1255817292 Marcela Caroline Weber Counselor 152 Mississippi 7 South, Oxford, MS 38655 2018-07-12
1649775123 Oxford Outpatient Center, LLC Clinic/Center 611 Commerce Pkwy, Oxford, MS 38655 2018-03-27
1073039962 Sharon Yvette Holloway Social Worker 152 Hwy and South, Oxford, Ms 38655, Oxford, MS 38655 2017-08-22
1447774682 Courtney M Purvis Physical Therapist 300 Enterprise Dr Ste B, Oxford, MS 38655 2017-07-31
1649716580 Taylor Lynn Smith Counselor 152 Ms-7, Oxford, MS 38655 2017-01-17
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124632716 Oxford Specialty Clinic Nurse Practitioner 1205 Office Park Dr, Oxford, MS 38655-3545 2020-09-01
1659994044 Christopher Killis Scruggs Nurse Practitioner 132 Yocona Ridge Rd, Oxford, MS 38655-6904 2020-05-20
1164062105 Sarah Marie Fitzpatrick Nurse Practitioner 1070 Brookside Ct, Oxford, MI 48371-6055 2020-01-07
1780225441 Lija Turaida Moncrieff-austin Nurse Practitioner 500 E Peninsula Ct, Oxford, MI 48371-3669 2019-10-03
1861044026 Mirian Thiruchendru Nurse Practitioner 72 S Washington St Ste 102, Oxford, MI 48371-6421 2019-07-09
1649752312 Aubrey Michelle Mcintosh Nurse Practitioner 904 Crestmoor Dr, Oxford, MI 48371-4870 2018-08-30
1760969208 Tina Gail Bryan Nurse Practitioner 7 County Road 469, Oxford, MS 38655-8279 2018-07-27
1699277509 Lindsey Wall Hemphill Nurse Practitioner 45 County Road 277, Oxford, MS 38655-8739 2018-03-06
1023527017 Katherine Waters Nurse Practitioner 2301 S Lamar Blvd # 140, Oxford, MS 38655-5373 2017-09-22
1780126136 Margaret Kennedy Nurse Practitioner 72 S Washington St Ste 204, Oxford, MI 48371-6424 2016-11-15
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Competitor

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City OXFORD
Zip Code 38655

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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