Memorial Hospital at Gulfport
Organization Active NPI Family Nurse Practitioner · Gulfport, MS
NPI 1124392329 · NPPES record last updated Mar 6, 2012
Key facts
- NPI
- 1124392329
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- R878630 (MS)
- Legal business name
- MEMORIAL HOSPITAL AT GULFPORT
- Practice address
- 4500 13TH St
Gulfport, MS 39501-2515 - Phone
- (228) 867-4000
- NPI assigned
- Mar 6, 2012
- Organization subpart
- No
Authorized official
- Name
- Kent Nicaud
- Title
- Office Manager/Administrator
- Phone
- (228) 867-4000
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Memorial Hospital at Gulfport
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner |
363LF0000X | R878630 | MS | Yes |
Addresses
Primary practice location
4500 13TH St
Gulfport, MS 39501-2515
Mailing address
PO Box 555
Biloxi, MS 39533-0555
Other providers in Gulfport, MS
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
- Memorial Hospital at Gulfport
All providers in Gulfport, MS · Family Nurse Practitioner in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.