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NP FAMILY MEDICAL CLINIC NPI 1255713889


NPI Information

NPI: 1255713889
Provider Name: NP FAMILY MEDICAL CLINIC

Doing Business As: NP FAMILY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D2100623

Address:
2300 24TH AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 206-6500
Get Directions

NP FAMILY MEDICAL CLINIC is a family medicine in Gulfport, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NP FAMILY MEDICAL CLINIC NPI is 1255713889. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Np Family Medical Clinic.

The provider's business location address is:

2300 24TH AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 206-6500
Fax: (866) 659-9359

The provider's authorized official is Carricka Thomas .
The authorized official title is Nurse Practitioner and has the following contact phone number (228) 326-9951.

The CLIA number assigned to this NPI record is 25D2100623 - other - house calls with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2015 and was last updated on 1/15/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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