Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Ellsworth

Individual provider Pediatric Nurse Practitioner · NPI 1790549483

Kaitlyn Ellsworth is a Pediatric Nurse Practitioner in Biloxi, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024

Practice location Address checks out

2561 Pass Rd Ste D
Biloxi, MS 39531-2712
Phone: (228) 400-0098
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 905766 (MS)

Record details

NPI number1790549483
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 12, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address11616 Talla Dr, Ocean Springs, MS 39564-7808

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