Provider Demographics
NPI:1902370018
Name:FOLLIN, KELSIE (FNP-C)
Entity Type:Individual
Prefix:
First Name:KELSIE
Middle Name:
Last Name:FOLLIN
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 COUNTY ROAD 533
Mailing Address - Street 2:
Mailing Address - City:CORINTH
Mailing Address - State:MS
Mailing Address - Zip Code:38834-8116
Mailing Address - Country:US
Mailing Address - Phone:662-415-5493
Mailing Address - Fax:
Practice Address - Street 1:93 COUNTY ROAD 533
Practice Address - Street 2:
Practice Address - City:CORINTH
Practice Address - State:MS
Practice Address - Zip Code:38834-8116
Practice Address - Country:US
Practice Address - Phone:662-415-5493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-11
Last Update Date:2021-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS909567163WE0003X
MS904259363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WE0003XNursing Service ProvidersRegistered NurseEmergency