Individual
AMY KATHERYN CASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, ADM
Contact information
Practice address
317 JAKES TRL NW, BROOKHAVEN, MS 39601-8632
(601) 265-2018
(949) 864-3748
Mailing address
317 JAKES TRL NW, BROOKHAVEN, MS 39601-8632
(601) 265-2018
(949) 864-3748
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
870517
MS
163WD0400X
Diabetes Educator Registered Nurse
870517
MS
363LF0000X
Family Nurse Practitioner
Primary
904334
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200914682
BCADM
MS
01
—
219764
CDCES
MS
01
—
25D2332015
CLIA
MS
Enumeration date
11/12/2013
Last updated
01/15/2026
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