Individual provider · Type 1 NPI

Jennifer L. Jurich, NP-C

Family Nurse Practitioner · Gulfport, MS

NPI number 1366774879 Active

Practice location

15476 Dedeaux Rd
Gulfport, MS 39503-2637

Mailing address

6300 E Lake Blvd Ste 301
Vancleave, MS 39565-6771

Other practice locations

  • 1720A Medical Park Dr Ste 220, Biloxi, MS 39532-2127 · (228) 230-2663
  • 8924 Live Oak Ave, Ocean Springs, MS 39564-8540 · (228) 669-8552

Specialties and licenses

TaxonomyCodeLicense
Emergency Registered Nurse 163WE0003XR872972 (MS)
Nurse Practitioner 363L00000XR872972 (MS)
Family Nurse Practitioner Primary 363LF0000XR872972 (MS)

Family Nurse Practitioner: Definition to come...

6 other providers at this address

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About NPI 1366774879

Jennifer L. Jurich, NP-C's National Provider Identifier is 1366774879, issued on Feb 8, 2010. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Apr 22, 2025.