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Individual

MS. AMY L PONTIUS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP-C

Contact information

Practice address
15190 COMMUNITY RD STE 300, GULFPORT, MS 39503-3499
(228) 819-8586
(228) 831-3908
Mailing address
168 MOBILE INFIRMARY BLVD, MOBILE, AL 36607-3510
(251) 433-1895
(251) 433-1917

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R820497
MS
363LF0000X
Family Nurse Practitioner
Primary
901897
MS

Other

Enumeration date
12/29/2016
Last updated
05/13/2025
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