MEDICARE: MRS. KELLY SOSA NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	R872287	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	R872287	OTHER	MS	LICENSE

General Provider Information

NPI Number	:	1891943692
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KELLY SOSA NP

Provider Business Mailing Address
First Line	:	7215 S SIWELL RD
Second Line	:
City	:	BYRAM
State	:	MS
Zip	:	39272-9776
Country	:	US
Telephone Number	:	601-373-2204
Fax Number	:	601-373-4413

Provider Business Practice Location Address
First Line	:	7215 S SIWELL RD
Second Line	:
City	:	BYRAM
State	:	MS
Zip	:	39272-9776
Country	:	US
Telephone Number	:	601-373-2204
Fax Number	:	601-373-4413

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2008
Last Update Date	:	08/19/2020

Similar Medicare Providers

1720715824 — MARY KENNEDY HAND DPT
Practice Location Address:

7213 S SIWELL RD STE A
BYRAM, MS
39272-9776

Practice Phone: 601-346-9191
Practice Fax:

1982713723 — DR. DAVID RAY READ PHARM.D.
Practice Location Address:

7261 S SIWELL RD
BYRAM, MS
39272-9776

Practice Phone: 601-372-5884
Practice Fax: 601-372-6531

1255530093 — FRANCHESCA A JONES O.T.
Practice Location Address:

7213 S SIWELL RD
BYRAM, MS
39272-9776

Practice Phone: 601-346-9191
Practice Fax: 601-346-5011

1649434754 — MRS. BETHANY JANETTE EDWARDS FNP
Practice Location Address:

7215 S SIWELL RD
BYRAM, MS
39272-9776

Practice Phone: 601-373-2204
Practice Fax: 601-373-4413

1447405998 — DR. SCOTT ANDERSON DAVIS M.D.
Practice Location Address:

7275 S SIWELL RD
BYRAM, MS
39272-9776

Practice Phone: 601-373-7722
Practice Fax: 601-373-7378

1225274962 — KELLY TOLER OT
Practice Location Address:

7213 S SIWELL RD
BYRAM, MS
39272-9776

Practice Phone: 601-346-9191
Practice Fax: 601-346-5011

Directions to “ MRS. KELLY SOSA NP” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.