Provider Demographics
NPI:1912613860
Name:DEMPSEY, KAILEY JADE (FNP-C)
Entity type:Individual
Prefix:
First Name:KAILEY
Middle Name:JADE
Last Name:DEMPSEY
Suffix:
Gender:
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1040 RIVER OAKS DR STE 103
Mailing Address - Street 2:
Mailing Address - City:FLOWOOD
Mailing Address - State:MS
Mailing Address - Zip Code:39232-9531
Mailing Address - Country:US
Mailing Address - Phone:601-948-6540
Mailing Address - Fax:
Practice Address - Street 1:1040 RIVER OAKS DR STE 103
Practice Address - Street 2:
Practice Address - City:FLOWOOD
Practice Address - State:MS
Practice Address - Zip Code:39232-9531
Practice Address - Country:US
Practice Address - Phone:601-948-6540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-24
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS907020363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily