Individual
AMY SKINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1203 BROAD AVE, GULFPORT, MS 39501-2489
(228) 868-5555
Mailing address
1203 BROAD AVE, GULFPORT, MS 39501-2489
(228) 868-5555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
908481
MS
Other
Enumeration date
07/17/2026
Last updated
07/17/2026
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