| Mrs Elizabeth Brown Kelly, CFNP | |
|
409 Tyler Holmes Dr, Winona, MS 38967-1521 | |
| (662) 283-4114 | |
| (662) 283-3288 |
| Full Name | Mrs Elizabeth Brown Kelly |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 8 Years |
| Location | 409 Tyler Holmes Dr, Winona, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144840489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 903768 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tyler Holmes Memorial Hospital Cah | Winona, MS | Hospital |
| University Of Mississippi Medical Center- Grenada | Grenada, MS | Hospital |
| St Francis Hospital | Memphis, TN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tyler Holmes Memorial Hospital | 0345142618 | 10 |
| Grenada Physician Services, Llc | 4284965773 | 15 |
| Entity Name | Tyler Holmes Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285649855 PECOS PAC ID: 0345142618 Enrollment ID: O20040126000826 |
| Entity Name | Grenada Physician Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932762721 PECOS PAC ID: 4284965773 Enrollment ID: O20191015001194 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elizabeth Brown Kelly, CFNP 409 Tyler Holmes Dr, Winona, MS 38967-1521 Ph: (662) 283-4114 | Mrs Elizabeth Brown Kelly, CFNP 409 Tyler Holmes Dr, Winona, MS 38967-1521 Ph: (662) 283-4114 |
Ms. Tabitha Nicole Stiff, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 123 N Front St, Winona, MS 38967 Phone: 662-283-2505 Fax: 601-825-8130 | |
Stephanie Melinda Myers, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Woodland Dr # 1530, Winona, MS 38967 Phone: 662-283-3060 | |
Mrs. Katherine W Hughes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 409 Tyler Holmes Dr, Winona, MS 38967 Phone: 662-283-4114 | |
Alleda J Glasner, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 521 Highway 407, Winona, MS 38967 Phone: 662-310-5829 | |
Ms. Deborah M Davis, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 Woodland Drive, Winona, MS 38967 Phone: 662-283-3060 Fax: 662-283-3553 | |
Amy Marie Gammel, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 700 Woodland Dr, Winona, MS 38967 Phone: 662-283-3060 |