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

Mrs. Amanda Jody Johnson-Kelly, DNP, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1457457814

Mrs. Amanda Jody Johnson-Kelly, DNP, FNP-BC is a Nurse Practitioner in Fulton, Mississippi. Qualified in 1999, 27 years ago. Practices with Tri-Vista Rehab, Inc, a 26-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
27
Licensed in
MS
In the registry since
2006
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1905 S Adams St
Fulton, MS 38843-8738
Phone: (662) 862-2165
Fax: (662) 862-6882
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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 R850493 (MS)

Record details

NPI number1457457814
Entity typeIndividual (Type 1)
GenderFemale
Credentials DNP , FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 15, 2006
Last updated in NPPESJune 6, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Tri-Vista Rehab, Inc. — 26 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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