Individual provider · Type 1 NPI

Jeannine A. Racey, CGNP

Gerontology Nurse Practitioner · Gulfport, MS

NPI number 1891711784 Active

Practice location

1530 Broad Ave
Gulfport, MS 39501-3601

Call (228) 865-1330 Map

Fax (228) 865-1331

Mailing address

PO Box 6705
Gulfport, MS 39506-6705

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner Primary 363LG0600XR725927 (MS)

Gerontology Nurse Practitioner: Definition to come...

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About NPI 1891711784

Jeannine A. Racey, CGNP's National Provider Identifier is 1891711784, issued on Jul 14, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Gulfport, MS. The record was last updated on Mar 10, 2011.