Individual
MICHAEL KNOTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, NP-C
Contact information
Practice address
7001 HIGHWAY 614, MOSS POINT, MS 39562-6483
(228) 588-6622
(228) 588-9399
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
901568
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05239768
—
MS
Enumeration date
07/07/2016
Last updated
08/24/2020
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