HAILEY DANIELS KELLY


Address: 1325 E Fortification St, Jackson, MS 39202-2442
Phone: 6013544488

HAILEY DANIELS KELLY (NPI# 1154951739) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154951739
Entity Type Individual
Full Name HAILEY DANIELS KELLY
Other Name HAILEY DANIELS
Credential PA-C
Practice Address 1325 E Fortification St
Jackson
MS 39202-2442
Mailing Address 2010 Highpointe Dr Apt 187
Brandon
MS 39042-2924
Practice Telephone 6013544488
Mailing Telephone 6019519070
Enumeration Date 2020-01-22
Last Update Date 2020-07-06
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AS0400X Physician Assistant
Specialization: Surgical Technologist
PA00468 MS Physician Assistants & Advanced Practice Nursing Providers

Other Providers HAILEY KELLY

NPI Name Taxonomy Address Enumeration
1568014470 Hailey Marie Kelly Technician/Technologist 32100 Telegraph Rd Ste 205, Bingham Farms, MI 48025-2454 2019-07-10

Office Location

Street Address 1325 E FORTIFICATION ST
City JACKSON
State MS
Zip Code 39202-2442

Providers in the same location

NPI Name Taxonomy Address Enumeration
1386632560 Chris Phillip Ethridge Orthopaedic Surgery 1325 E Fortification St, Jackson, MS 39202-2442 2005-10-11
1144832130 Georgiana Ogletree Occupational Therapist 1325 E Fortification St, Jackson, MS 39202-2442 2020-08-20
1972133353 Justin Bryant Schopp Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2020-01-24
1356903520 James Logan Ferrell Occupational Therapist 1325 E Fortification St, Jackson, MS 39202-2442 2019-07-08
1184185472 Jamie Jackson Garrett Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2019-03-28
1114494754 Charles Taylor Knapp Nurse Practitioner 1325 E Fortification St, Jackson, MS 39202-2442 2018-11-01
1477078277 Leah Winstead West Physical Medicine & Rehabilitation 1325 E Fortification St, Jackson, MS 39202-2442 2017-08-14
1700309374 Van Treece Woodall Specialist/Technologist 1325 E Fortification St, Jackson, MS 39202-2442 2017-07-25
1346760220 Megan Wallace Tyson Nurse Practitioner 1325 E Fortification St, Jackson, MS 39202-2442 2017-06-22
1083149181 John Causey Registered Nurse 1325 E Fortification St, Jackson, MS 39202-2442 2017-04-26
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1982234183 Eva Mackenzie Carmody Physician Assistant 1190 N State St Suite 502, Jackson, MS 39202 2020-01-16
1750868691 Katherine Walters Nurse Practitioner 501 Marshall St., Suite 400, Jackson, MS 39202 2018-07-24
1932638749 Tylan Lee Social Worker 860 East River Place Suite 100, Jackson, MS 39202 2017-06-06
1417314725 Euna Jyles Counselor 860 E River Pl, Jackson, MS 39202 2016-01-19
1255712048 Edward Jonathan Breight Specialist/Technologist 1325 East Fortication Street, Jackson, MS 39202 2015-06-17
1881037703 Kara Spinks Logan Surgery 1190 N State St Ste 502, Jackson, MS 39202 2013-04-10
1477876530 Mick Inc. Technician 334 Josanna Street, Suite #209, Jackson, MS 39202 2010-03-03
1073724910 Paul Frederic Dare Anesthesiology 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 2007-05-24
1225247703 Lynn Kincannon Holland Counselor 911 Manship Street, Unit A, Jackson, MS 39202 2007-05-22
1457568149 Incare Inc Pulmonary Function Technologist 1151 North State St, Suite 406, Jackson, MS 39202 2007-05-16
Find all providers in zip 39202

Taxonomy Information

Taxonomy Code 363AS0400X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Surgical Technologist

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477091742 Madeline Grace Daniels Physician Assistant 501 Marshall St Ste 400, Jackson, MS 39202-1687 2017-02-07
1972133353 Justin Bryant Schopp Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2020-01-24
1275163727 Kaitlin Lehto Physician Assistant 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4684 2020-01-23
1205466984 Rachel Sellers Physician Assistant 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 2020-01-22
1194284786 Kaitlyn Dunbar Physician Assistant 2500 N State St, Jackson, MS 39216-4500 2019-03-14
1164920930 Catherine Supple Bryant Physician Assistant 1190 N State St Ste 502, Jackson, MS 39202-2414 2018-01-26
1790293496 Madison Holcomb Physician Assistant 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 2018-01-16
1902314693 Sarah Lindsey Abdeen Physician Assistant 971 Lakeland Dr Ste 1460, Jackson, MS 39216-4621 2018-01-16
1083073233 Mary Allison Durr Physician Assistant 1325 E Fortification St, Jackson, MS 39202-2442 2016-02-16
1104283068 Heather Morris Physician Assistant 1190 N State St Ste 502, Jackson, MS 39202-2414 2016-01-24
Find all providers in JACKSON

Competitor

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City JACKSON
Zip Code 39202

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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