Individual
ASHLEY RAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15190 COMMUNITY RD STE 140, GULFPORT, MS 39503-3484
(228) 539-0489
(228) 539-0492
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
902629
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04437305
—
MS
Enumeration date
06/29/2018
Last updated
09/21/2021
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