MRS. GWENDOLYN PITCOCK SHIRLEY FNP NPI 1871726182

NPI Information

NPI: 1871726182
Provider Name: MRS. GWENDOLYN PITCOCK SHIRLEY, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
2149 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671
Phone: (662) 342-1112
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MRS. Gwendolyn Pitcock Shirley, FNP is a family nurse practitioner in Southaven, MS. MRS. Gwendolyn Pitcock Shirley, FNP NPI is 1871726182. 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:

2149 STATELINE RD W
SOUTHAVEN, MS
ZIP 38671-222
Phone: (662) 342-1112
Fax: (662) 342-1116

The enumeration date for this NPI number is 9/2/2009 and was last updated on 2/9/2010.

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	R858450	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: 4/28/2024

NPI Synchronization or Removal

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