Individual provider · Type 1 NPI
Jason Keith Ely
Family Nurse Practitioner · Gulfport, MS
NPI number
1104595396
Active
Practice location
15190 Community Rd Ste 260
Gulfport, MS 39503-3471
Fax (228) 762-3147
Mailing address
2101 Highway 90
Gautier, MS 39553-5340
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 9048725 (MS) |
Family Nurse Practitioner: Definition to come...
4 other providers at this address
- Cherie Champagne, MDInterventional Cardiology Physician Gulfport, MS NPI 1720432107
- John Jacobs Hall, MDSurgery Physician Gulfport, MS NPI 1700132545
- Richard McMullan, NPAcute Care Nurse Practitioner Gulfport, MS NPI 1033973359
- Sally M. Proffitt, FNP-CFamily Nurse Practitioner Gulfport, MS NPI 1023389210
Other family nurse practitioner providers in Gulfport
- Brittany Nicole ColemanFamily Nurse Practitioner Gulfport, MS NPI 1003153966
- Tracy Leigh Ladner, C.F.N.PFamily Nurse Practitioner Gulfport, MS NPI 1003239294
- Ashley Barq House, FNP-CFamily Nurse Practitioner Gulfport, MS NPI 1013254358
- Sally M. Proffitt, FNP-CFamily Nurse Practitioner Gulfport, MS NPI 1023389210
- Deirdre Lee Breland, NPFamily Nurse Practitioner Gulfport, MS NPI 1023690989
- Carolyn Hillman, NPFamily Nurse Practitioner Gulfport, MS NPI 1033432919
- Yolanda Antoinette Edwards, APRN, FNP-CFamily Nurse Practitioner Gulfport, MS NPI 1043077811
- Bethany Autry Robinette, NP-CFamily Nurse Practitioner Gulfport, MS NPI 1043768005
About NPI 1104595396
Jason Keith Ely's National Provider Identifier is 1104595396, issued on Sep 10, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on May 2, 2022.