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MRS. JESSICA FUQUA NP-C NPI 1235548363


NPI Information

NPI: 1235548363
Provider Name: MRS. JESSICA FUQUA, NP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
1530 BROAD AVE
GULFPORT, MS
ZIP 39501
Phone: (228) 865-1330
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MRS. Jessica Fuqua, NP-C is a family nurse practitioner in Gulfport, MS. MRS. Jessica Fuqua, NP-C NPI is 1235548363. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1530 BROAD AVE
GULFPORT, MS
ZIP 39501-601
Phone: (228) 865-1330
Fax: (228) 865-1331

The enumeration date for this NPI number is 8/2/2014 and was last updated on 7/21/2022.


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
1363LF0000XNurse PractitionerFamily18863TENNESSEENo
2363LF0000XNurse PractitionerFamilyCNP-02586NEW MEXICONo
3363LF0000XNurse PractitionerFamily902207MISSISSIPPIYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.