MEMORIAL HOSPITAL AT GULFPORT NPI 1124392329

NPI Information

NPI: 1124392329
Provider Name: MEMORIAL HOSPITAL AT GULFPORT
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4500 13TH ST
GULFPORT, MS
ZIP 39501
Phone: (228) 867-4000
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MEMORIAL HOSPITAL AT GULFPORT is a family nurse practitioner in Gulfport, MS. MEMORIAL HOSPITAL AT GULFPORT NPI is 1124392329. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4500 13TH ST
GULFPORT, MS
ZIP 39501-515
Phone: (228) 867-4000

The provider's authorized official is Kent Nicaud .
The authorized official title is Office Manager/administrator and has the following contact phone number (228) 867-4000.

The enumeration date for this NPI number is 3/6/2012 and was last updated on 3/6/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	R878630	MISSISSIPPI	Yes

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: 11/14/2023

NPI Synchronization or Removal

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