SearchMississippiFamily Nurse Practitioner

Jason Ely

NPI 1104595396 · on the registry since 2021 · sole proprietor

Practice

Address
15190 Community Rd Ste 260
Gulfport, MS 39503
Phone
(228) 762-4483
Fax
(228) 762-3147
Organisation at this address
Fjp Llc
Jwd Llc
Code, Llc
Mo Services Llc
D Balder Md, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
78

Registry record

Primary taxonomy
Family Nurse Practitioner
363LF0000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-05-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi