Individual provider Active NPI

Jennifer Hurley

  • Acute Care Nurse Practitioner
  • Pascagoula, MS
National Provider Identifier
1093224446
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
902308 Issued in MS
Practice address
2809N Denny Ave
Pascagoula, MS 39581-5301
Phone
(228) 809-5000
NPI assigned
Sep 28, 2017
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 902308 MS Primary
Family Nurse Practitioner 363LF0000X 902308 MS

Addresses

Primary practice location

2809N Denny Ave
Pascagoula, MS 39581-5301

Mailing address

4189 Lloyd Eubanks Rd
Lucedale, MS 39452-2979

Other practice location 1

950 Matthew Dr
Waynesboro, MS 39367-2590
Phone (601) 735-5151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171025003388 MS Practitioner - Nurse Practitioner 6709152358 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mississippi Emergency Department Services PCGroup PAC ID 7113453960, 40 clinicians
Wayne General HospitalGroup PAC ID 2668457581, 47 clinicians

Practice addresses (Care Compare)

2809 Denny Ave
Pascagoula, MS 39581-5301
Phone (228) 809-5000

951 Matthew Dr
Suite a
Waynesboro, MS 39367-2566
Phone (601) 735-2401

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
902308MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System Single Specialty CurrentSince Oct 19, 2017 Accepting new patients
Emergency Room Group LTD Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Wayne General Hospital Single Specialty Current Accepting new patients
Singing River Health System Single Specialty CurrentSince Oct 19, 2017 Accepting new patients
Harrison Emergency Group LLC Single Specialty CurrentSince Jun 13, 2023 Accepting new patients
Singing River Gulfport Single Specialty CurrentSince Jun 2, 2024 Accepting new patients
Wayne General Hospital CurrentSince Aug 1, 2025 Accepting new patients
Wayne General Hospital Single Specialty CurrentSince Aug 1, 2025 Accepting new patients
Singing River Gulfport Single Specialty CurrentSince Jun 2, 2024 Accepting new patients
Mississippi Emergency Department Services PC Single Specialty CurrentSince Dec 1, 2024 Accepting new patients
Wayne General Hospital Single Specialty Past Accepting new patients
Wayne General Hospital Past Accepting new patients
Wayne General Hospsital Single Specialty Past Accepting new patients

Locations

150 Reynoir St
Biloxi, MS 39530
Phone (228) 284-2389

2101 Highway 90
Gautier, MS 39553
Phone (228) 497-7576

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

1199 Ocean Springs Rd
Ocean Springs, MS 39564
Phone (228) 875-9363

3109 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1100

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

950 Matthew Dr
Waynesboro, MS 39367
Phone (601) 735-5151

951 Matthew Dr
Ste A
Waynesboro, MS 39367
Phone (601) 735-2401

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1093224446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4189 LLOYD EUBANKS RD",
            "city": "LUCEDALE",
            "state": "MS",
            "postal_code": "394522979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2809N DENNY AVE",
            "city": "PASCAGOULA",
            "state": "MS",
            "postal_code": "395815301",
            "telephone_number": "228-809-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 Matthew Dr",
            "address_purpose": "LOCATION",
            "city": "Waynesboro",
            "state": "MS",
            "postal_code": "393672590",
            "country_code": "US",
            "telephone_number": "601-735-5151",
            "fax_number": "601-735-7149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HURLEY",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MS",
            "license": "902308",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "902308",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pascagoula, MS

Sources for this page

Verify at the official NPI Registry.