Individual provider · Type 1 NPI

Ralph Lane Burroughs Iii, N.P.

Psychiatric/Mental Health Nurse Practitioner · Gulfport, MS

NPI number 1760674949 Active

Practice location

8990 Lorraine Rd
Gulfport, MS 39503-4176

Fax (228) 284-1608

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XR855758 (MS)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XR855758 (MS)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1760674949

Ralph Lane Burroughs Iii, N.P.'s National Provider Identifier is 1760674949, issued on Aug 13, 2007. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gulfport, MS. The record was last updated on Apr 24, 2023.