Organization · Type 2 NPI

Hancock Medical Health Services, Inc.

Nurse Practitioner · Bay St. Louis, MS

NPI number 1245581768 Active

Practice location

602 Pine St.
Bay St. Louis, MS 39520

Call (228) 466-4919 Map

Mailing address

149 Drinkwater Blvd
Bay St. Louis, MS 39520

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	11-214 (MS)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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NPI record

NPI: 1245581768
Entity type: Organization (Type 2)
Issued: Sep 24, 2012
Last updated: Dec 10, 2013
Status: Active
Subpart: Yes of Hancock Medical Center

Other names

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Hancock Medical Health Services - BWSD · doing business as

Authorized official

Mr. Guy Ken Smith, MBA
Director Operations
(985) 898-7091

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1245581768

Hancock Medical Health Services, Inc.'s National Provider Identifier is 1245581768, issued on Sep 24, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bay St. Louis, MS. The record was last updated on Dec 10, 2013.