MICAH KENNEDY CRAFT FNP NPI 1043980691

NPI Information

  • NPI: 1043980691
  • Provider Name: MICAH KENNEDY CRAFT, FNP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 309 LLEWELLYN AVE
    MCCOMB, MS
    ZIP 39648
  • Phone: (601) 682-7623

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NPI Details

Micah Kennedy Craft, FNP is a family nurse practitioner in Mccomb, MS. Micah Kennedy Craft, FNP NPI is 1043980691. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

309 LLEWELLYN AVE
MCCOMB, MS
ZIP 39648-703
Phone: (601) 682-7623

The enumeration date for this NPI number is 9/15/2021 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily904879MISSISSIPPIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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