Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dustin Kelly, FNP-C

Individual provider Registered Nurse · NPI 1942987664

Dustin Kelly, FNP-C is a Nurse Practitioner in Grenada, Mississippi. Qualified in 2023, 3 years ago. Practices with Joseph F Roberts MD PA, a 2-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2023
Specialties on file
2
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

1117 Sunset Dr Ste 101
Grenada, MS 38901-4080
Phone: (662) 226-1168
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906082 (MS)
Registered Nurse Taxonomy 163W00000X · Licence 899168 (MS)

Record details

NPI number1942987664
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJuly 4, 2023
Last updated in NPPESJuly 4, 2023
Certification dateJuly 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Joseph F Roberts Md Pa — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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