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General NPI Number Information
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NPI Number | 1497187512
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Entity Type | Individual
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Provider Name | FELICIA KEYS NP-C
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Gender | Female
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Dates
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Enumeration Date | 07/31/2013
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1250 W 1ST SUITE C
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City | LAUREL
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State | MS
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Zip | 39440-4312
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Country | US
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Telephone | 601-274-4004
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Fax | 601-374-6884
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Provider Business Mailing Address
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Address Line | 216 S 13TH AVE # C
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City | LAUREL
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State | MS
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Zip | 39440-4226
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Country | US
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Telephone | 601-274-4004
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Fax | 601-374-6884
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP134037
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | R876242
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License Number State | MS
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