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

Kalisa Mickell, FNP

Individual provider Family Nurse Practitioner · NPI 1013504067

Kalisa Mickell, FNP is a Nurse Practitioner in Tupelo, Mississippi. Qualified in 2020, 6 years ago. Practices with North Mississippi Medical Center, Inc, a 362-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

830 S Gloster St
Tupelo, MS 38801-4934
Phone: (662) 377-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 904311 (MS)

Record details

NPI number1013504067
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 23, 2020
Last updated in NPPESApril 7, 2021
Certification dateApril 7, 2021
Mailing address830 S Gloster St, Tupelo, MS 38801-4934

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice North Mississippi Medical Center, Inc. — 362 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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