Organization · Type 2 NPI

Primesource Nursing Services, Inc

Nurse Practitioner · Gulfport, MS

NPI number 1801987870 Active

Practice location

4906 Kendall Ave
Gulfport, MS 39507-4409

Fax (228) 865-1331

Mailing address

PO Box 6705
Gulfport, MS 39506-6705

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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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About NPI 1801987870

Primesource Nursing Services, Inc's National Provider Identifier is 1801987870, issued on Sep 27, 2006. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 22, 2020.