Individual provider · Type 1 NPI

Amanda Renia Mizell, CRNP

Family Nurse Practitioner · Gulfport, MS

NPI number 1679896575 Active

Practice location

1212 E Pass Rd
Gulfport, MS 39507-3403

Call (228) 896-7108 Map

Fax (228) 896-7174

Mailing address

PO Box 787
Grand Bay, AL 36541-0787

Other practice locations

  • 12303 Highway 49, Gulfport, MS 39503 · (228) 206-6882
  • 1962 Spring Hill Ave, Mobile, AL 36607 · (251) 802-3595

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1-111977 (AL)
Family Nurse Practitioner Primary 363LF0000XR880871 (MS)

Family Nurse Practitioner: Definition to come...

2 other providers at this address

Other family nurse practitioner providers in Gulfport

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About NPI 1679896575

Amanda Renia Mizell, CRNP's National Provider Identifier is 1679896575, issued on Mar 5, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Feb 14, 2023.