Individual
MRS. JULIE A AINSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1340 BROAD AVE STE 410, GULFPORT, MS 39501-2459
(228) 575-1775
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(228) 867-5326
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
904352
MS
Other
Enumeration date
01/09/2021
Last updated
05/02/2023
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