Healthcare Provider Details

I. General information

NPI: 1649105727
Provider Name (Legal Business Name): KAYLEE MORGAN LAWRENCE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15190 COMMUNITY RD STE 300
GULFPORT MS
39503-3499
US

IV. Provider business mailing address

168 MOBILE INFIRMARY BLVD
MOBILE AL
36607-3510
US

V. Phone/Fax

Practice location:
  • Phone: 251-433-1895
  • Fax:
Mailing address:
  • Phone: 251-433-1895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number908356
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: