Keesler Medical Center 81St Medical Group
Organization Active NPI Ambulatory Women's Health Care Registered Nurse · Keesler Afb, MS
NPI 1225091192 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1225091192
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ambulatory Women's Health Care Registered Nurse 163WW0101X
- License
- 0001107341 (VA)
- Legal business name
- KEESLER MEDICAL CENTER 81ST MEDICAL GROUP
- Practice address
- 301 Fisher St
Ste 109
Keesler Afb, MS 39534-2508 - Phone
- (228) 377-6920
- NPI assigned
- Apr 10, 2006
- Organization subpart
- No
Authorized official
- Name
- Sherri Lynette Saunders-Goldson
- Title
- Women'S Health Nurse Practitioner
- Phone
- (228) 377-6989
National Provider Directory
Locations
301 Fisher St
Ste 109
Keesler AFB, MS 39534
Phone (228) 377-3049
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Women's Health Care Registered Nurse |
163WW0101X | 0001107341 | VA | Yes |
Addresses
Primary practice location
301 Fisher St
Ste 109
Keesler Afb, MS 39534-2508
Mailing address
2620 Lejuene Dr
Apt 10204
Biloxi, MS 39531-3740
Other providers in Keesler Afb, MS
- David Max Jones
- Jill Allyn Jozefowicz
- Tabitha M Kabala
- Brian Anthony Katen
- Gregory Shayne Katirgis
- Emanuel Alexander Keiler
- Mike Sunwoo Kim
- Bristal Lea Kinderman
- Steven M Kindsvater
- Cody B King
All providers in Keesler Afb, MS · Ambulatory Women's Health Care Registered Nurse in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.