Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHILLIP MATTHEW EZELL, FNP-BC, AGACNP-BC
ActivePHILLIP MATTHEW EZELL, FNP-BC, AGACNP-BC is a Adolescent Medicine healthcare provider located in PETAL, Mississippi. NPI 1689453524 is currently active in the NPPES registry. Verify at CMS.
Adolescent Medicine · PETAL, MS
Registration Details
- NPI Number
- 1689453524
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2023 (2.8872467560433 yrs)
- Last Updated
- Jan 5, 2026
- Licenses
-
905839 (MS)905839 (MS)
Practice Information
- Address
-
908 S GEORGE AVEPETAL, MS, 394652077Browse MS providers · Browse ZIP 39465
- Phone
- 6015447441
- Primary Specialty
-
Adolescent Medicine
207QA0505X
- Additional Specialty
- Critical Care Medicine
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.