COAST NURSE PRACTITIONERS INC NPI 1962683623

NPI Information

  • NPI: 1962683623
  • Provider Name: COAST NURSE PRACTITIONERS, INC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 13300 RS KIMBALL RD
    VANCLEAVE, MS
    ZIP 39565
  • Phone: (228) 826-4600

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NPI Details

COAST NURSE PRACTITIONERS, INC is a family nurse practitioner in Vancleave, MS. COAST NURSE PRACTITIONERS, INC NPI is 1962683623. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13300 RS KIMBALL RD
VANCLEAVE, MS
ZIP 39565-235
Phone: (228) 826-4600
Fax: (228) 392-8393

The provider's authorized official is John M Martin .
The authorized official title is Owner and has the following contact phone number (228) 826-4600.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.

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
1363LF0000XNurse PractitionerFamilyR851501MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1C03299MEDICARE PINMISSISSIPPI
2P20213MEDICARE UPINMISSISSIPPI
300126136MEDICAIDMISSISSIPPI

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: 11/21/2025

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