Individual provider · Type 1 NPI

Ali Bin Nasir

Student in an Organized Health Care Education/Training Program · Southaven, MS

NPI number 1124965991 Active

Practice location

Southaven Family Practice, 7736 Airways Blvd
Southaven, MS 38671

Call (662) 772-3700 Map

Mailing address

Baptist Memorial - Desoto, 7601 Southcrest Pkwy
Southaven, MS 38671

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1124965991

Ali Bin Nasir's National Provider Identifier is 1124965991, issued on Apr 30, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Southaven, MS. The record was last updated on Aug 20, 2026.