Rebecca Fletcher, LPN
Individual provider Active NPI Licensed Practical Nurse · Gulfport, MS
NPI 1629532007 · NPPES record last updated Jul 12, 2019
Key facts
- NPI
- 1629532007
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2040043 (AL)
- Practice address
- 1600 Broad Ave
Gulfport, MS 39501-3603 - Phone
- (228) 865-1719
- Fax
- (228) 865-1780
- NPI assigned
- Jan 30, 2019
- Sex
- Female
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2040043 | AL | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2040043 | AL | Yes |
Addresses
Primary practice location
1600 Broad Ave
Gulfport, MS 39501-3603
Mailing address
1600 Broad Ave
Gulfport, MS 39501-3603
Phone (228) 865-1719
Other providers in Gulfport, MS
- Daphne Ferriera Fisher
- Kimberly Fisher
- Lakeshia Fisher
- FJP LLC
- Sarah Flagg
- Armand Phillip Flores
- Sara Flowers
- Laura Moyer Floyd
- Natalie Floyd
- Brandy Flynn
All providers in Gulfport, MS · Licensed Practical 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 Jul 12, 2019. 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.