Organization · Type 2 NPI

NP On Call

Family Medicine Physician · Gulfport, MS

NPI number 1255713889 Active

Practice location

2300 24th Ave
Gulfport, MS 39501

Fax (866) 659-9359

Specialties and licenses

Taxonomy	Code	License
Family Medicine Physician Primary	207Q00000X	None listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2 other providers at this address

Other family medicine physician providers in Gulfport

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NPI record

NPI: 1255713889
Entity type: Organization (Type 2)
Issued: Jun 19, 2015
Last updated: Dec 3, 2024
Status: Active
Subpart: Yes of NP On Call

Other names

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NP Family Medical Clinic · doing business as
NP Family Medical Clinic · doing business as

Authorized official

Carricka Thomas, FNP-BC
Nurse Practitioner
(228) 326-9951

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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 1255713889

NP On Call's National Provider Identifier is 1255713889, issued on Jun 19, 2015. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Gulfport, MS. The record was last updated on Dec 3, 2024.