| Doctor Name: | MRS. KELLYE GARRETT |
| NPI Number: | 1184844466 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APMHNP |
| License Number: | R855689 |
| Business Practice Address: | 2100 East Chambers Drive Booneville, MS - 38829 |
| Business Phone Number: | 6627283174 |
| Business Fax Number: | 6627283175 |
| Mailing Address: | Po Box 839, CORINTH |
| State: | MS |
| Postal Code: | 38835 |
| Phone Number: | 6622869883 |
| Fax Number: | 6622849836 |
| NPI Enumeration Date: | 04/27/2007 |
| NPI Last Update Date: | 03/22/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | R855689 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MS |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |