Individual
MRS. AMBER RENEE AYLESWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
3654 HOOD DR, PEARL, MS 39208-3805
(662) 571-8731
Mailing address
3654 HOOD DR, PEARL, MS 39208-3805
(662) 571-8731
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
2021036268.
MS
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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