Individual provider · Type 1 NPI
Kelly Susanne Mask, N.P.
Family Nurse Practitioner · Pascagoula, MS
NPI number
1992836423
Active
Practice location
3101 Denny Ave Ste 230
Pascagoula, MS 39581-5307
Fax (228) 400-1140
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | R860508 (MS) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1992836423
Kelly Susanne Mask, N.P.'s National Provider Identifier is 1992836423, issued on Mar 8, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Pascagoula, MS. The record was last updated on Jun 25, 2026.