Search › Mississippi › 207QA0505X
Phillip Ezell, FNP-BC, AGACNP-BC
NPI 1689453524 · on the registry since 2023
Practice
- Address
- 908 S George Ave
Petal, MS 39465 - Phone
- (601) 544-7441
Additional practice sites
- 670 Weathersby Rd Ste 140, Hattiesburg, MS
Registry record
- Primary taxonomy
- 207QA0505X
207QA0505X
- Also registered as
- 207RC0200X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-01-05
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi