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Julie A Ainsworth, NP

Nurse Practitioner in Gulfport, MS. Individual provider (NPI-1).

NPI number1134717622
StatusActive
Last updated in NPPESMay 2, 2023

Details

NPI
1134717622
Entity type
Individual (NPI-1)
Name
Mrs. Julie A Ainsworth
Credential
NP
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2021
Certification date
May 2, 2023
Last updated
May 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse Practitioner904352MSYes

Other names

  • Julie A Bourgeois (Former Name)

Practice location

1340 Broad Ave Ste 410
Gulfport, MS 39501-2459

Phone 228-575-1775

Mailing address

Po Box 1810
Gulfport, MS 39502-1810

Phone 228-867-5326

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