IndividualActive
Amber Aylesworth, AGNP
NPI 1780358192 · Gerontology Nurse Practitioner · Pearl, MS
Provider details
- NPI number
- 1780358192
- Entity type
- Individual
- Primary specialty
- Gerontology Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- AGNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2021036268. (MS)
Mailing address
3654 Hood Dr
Pearl, MS 39208-3805
Registry dates
- Enumerated
- 2021-08-09
- Last updated
- 2021-08-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.