Barry Porter, RN

Individual provider Active NPI Registered Nurse · Stringer, MS

NPI 1265243000 · NPPES record last updated Jan 20, 2025

Key facts

NPI
1265243000
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN108963 (LA)
Practice address
611 County Road 79
Stringer, MS 39481-4550
Phone
(225) 485-4306
NPI assigned
Jan 20, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-091426ALMDRegistered Nurse
RN108963LAMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1-091426 AL
Registered Nurse 163W00000X RN108963 LA Yes

Addresses

Primary practice location

611 County Road 79
Stringer, MS 39481-4550

Mailing address

611 County Road 79
Stringer, MS 39481-4550
Phone (225) 485-4306

Other providers in Stringer, MS

All providers in Stringer, MS · Registered Nurse in Mississippi

Sources for this page

Verify at the official NPI Registry.