Individual
AMY KAYE ALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3661 SANGANI BLVD, SUITE E, D'IBERVILLE, MS 39503
(228) 354-0022
(228) 354-0088
Mailing address
11564 STANTON CIR, GULFPORT, MS 39503-6156
(228) 896-1016
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R861297
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09937019
—
MS
Enumeration date
07/26/2006
Last updated
04/20/2008
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