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

Katie Antle, FNP-C

Individual provider Family Nurse Practitioner · NPI 1790548311

Katie Antle, FNP-C is a Nurse Practitioner in Ecru, Mississippi. Qualified in 2023, 3 years ago. Practices with Friendship Medical Clinic LLC, a 9-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
3
Licensed in
MS
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

5482 Highway 15 N
Ecru, MS 38841-8471
Phone: (662) 488-8799
Show map & directions

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

Additional practice locations (1)

  • 4127 W Main St, Tupelo, MS 38801-8129 — (662) 269-3191

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 906501 (MS)

Record details

NPI number1790548311
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedFebruary 5, 2024
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Friendship Medical Clinic Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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