Individual
ASHLEY DUEITT SANFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-FNP
Contact information
Practice address
6051 U S HIGHWAY 49, HATTIESBURG, MS 39401-7200
(601) 288-7000
Mailing address
PO BOX 15722, HATTIESBURG, MS 39404-5722
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
902714
MS
363LA2200X
Adult Health Nurse Practitioner
Primary
902714
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05857553
—
MS
Enumeration date
01/04/2019
Last updated
06/24/2025
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