Healthcare Provider Details
I. General information
NPI: 1114458825
Provider Name (Legal Business Name): ASHLEY EVERS GERJETS DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/23/2017
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5 RIVER BEND PL STE C
FLOWOOD MS
39232-7618
US
IV. Provider business mailing address
172 LESLIE DR
FLOWOOD MS
39232-1277
US
V. Phone/Fax
- Phone: 601-957-7345
- Fax: 769-251-5429
- Phone: 813-716-3114
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | 27695 |
| License Number State | MS |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: