Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON KEITH ELY
Active Sole ProprietorFamily Nurse Practitioner · GULFPORT, MS
Registration Details
- NPI Number
- 1104595396
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2021 (4.6432538574367 yrs)
- Last Updated
- May 2, 2022
- License
-
9048725 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15190 COMMUNITY RD STE 260GULFPORT, MS, 395033471Browse MS providers · Browse ZIP 39503
- Phone
- 2287624483
- Fax
- 2287623147
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Providers in GULFPORT, MS
| Name | Credential | NPI |
|---|---|---|
| MRS. PRISCILLA M. RENWICK | NURSE PRACTITIONER | 1861499592 |
| STEPHANIE D ROMERO | CFNP | 1710976162 |
| LINNEA R LAKE | CFNP | 1770550618 |
| LUELLA A WILLIAMS | CFNP | 1144297755 |
| GREGORY PARKER | CFNP | 1073574687 |
| PAULETTE DAWKINS | C.F.N.P. | 1912012121 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.