KELLY BROOKE ENGELMANN CFNP NPI 1710096656

NPI Information

Kelly Brooke Engelmann, CFNP is a family nurse practitioner in Jackson, MS. Kelly Brooke Engelmann, CFNP NPI is 1710096656. 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:

1855 LAKELAND DR
STE. M20
JACKSON, MS
ZIP 39216-913
Phone: (601) 364-1132
Fax: (601) 364-1134

The NPI 1710096656 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 3/7/2023.

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:

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