person
Jason Keith Ely
Family Nurse Practitioner in Gulfport, Mississippi
NPI 1104595396

Jason Keith Ely is a Family Nurse Practitioner based in Gautier, MS and is specialized in Family. Jason Keith Ely practices in Gulfport, MS. The NPI Number for Jason Keith Ely is 1104595396 and holds a License No. 9048725 (Mississippi).

The current practice location address for Jason Keith Ely is 15190 Community Rd Ste 260, Gulfport, MS and can be reached out via phone at 228-762-4483 and via fax at 228-762-3147.

Location: 15190 Community Rd Ste 260, Gulfport, MS, 39553-5340
person
Provider Profile Details
NPI Number
1104595396
Provider Name
Jason Keith Ely
Credential
Provider Entity Type
Individual
Gender
Male
Address
15190 Community Rd Ste 260, Gulfport, MS, 39553-5340
Phone Number
228-762-4483
Fax Number
228-762-3147
Provider Enumeration Date
09/10/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
15190 Community Rd Ste 260
City
State
Zip
39503-3471
Phone Number
228-762-4483
Fax Number
228-762-3147
person
Provider Business Mailing Address Details
Address
15190 Community Rd Ste 260
City
State
Zip
39503-3471
Phone Number
228-762-4483
Fax Number
228-762-3147
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
9048725 (Mississippi)
Definition
Definition to come...
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