Individual provider · Type 1 NPI

Lissa Kelly Baber, AGACNP

Acute Care Nurse Practitioner · Gulfport, MS

NPI number 1306409040 Active

Practice location

1340 Broad Ave
Gulfport, MS 39501-2404

Mailing address

5 Oak Alley Ln
Long Beach, MS 39560-8000

Other practice locations

  • 4500 13th St, Gulfport, MS 39501-2569 · (228) 867-4000

Specialties and licenses

TaxonomyCodeLicense
Acute Care Nurse Practitioner Primary 363LA2100X903259 (MS)

Acute Care Nurse Practitioner: Definition to come...

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About NPI 1306409040

Lissa Kelly Baber, AGACNP's National Provider Identifier is 1306409040, issued on Apr 18, 2019. The primary taxonomy on file is Acute Care Nurse Practitioner (363LA2100X), and the practice location is in Gulfport, MS. The record was last updated on Jun 30, 2019.