Healthcare Provider Details

I. General information

NPI: 1821525593
Provider Name (Legal Business Name): EMILY KEY FNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 05/07/2026
Certification Date: 05/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HIGHWAY 535
SEMINARY MS
39479-8809
US

IV. Provider business mailing address

PO BOX 1729
HATTIESBURG MS
39403-1729
US

V. Phone/Fax

Practice location:
  • Phone: 601-722-3208
  • Fax: 601-722-3304
Mailing address:
  • Phone: 601-545-8700
  • Fax: 601-255-2645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number901994
License Number StateMS
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number901994
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: