Individual
AMY HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503-4151
(228) 284-4342
(228) 284-4345
Mailing address
11240 HIGHWAY 49, STE 300, GULFPORT, MS 39503-4151
(228) 284-4342
(228) 284-4345
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R885800
MS
Other
Enumeration date
02/13/2015
Last updated
02/22/2017
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