Individual provider · Type 1 NPI

Jessica Fuqua, NP-C

Family Nurse Practitioner · Gulfport, MS

NPI number 1235548363 Active

Practice location

1530 Broad Ave
Gulfport, MS 39501-3601

Fax (228) 865-1331

Mailing address

38 Pass Rd Ste A
Gulfport, MS 39507-3107

Other practice locations

  • 3050 Regent Blvd, Suite 100, Irving, TX 75063-3196 · (214) 689-3600

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X18863 (TN)
Family Nurse Practitioner 363LF0000XCNP-02586 (NM)
Family Nurse Practitioner Primary 363LF0000X902207 (MS)

Family Nurse Practitioner: Definition to come...

15 other providers at this address

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About NPI 1235548363

Jessica Fuqua, NP-C's National Provider Identifier is 1235548363, issued on Aug 2, 2014. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Jul 21, 2022.