Individual provider · Type 1 NPI

Gavin Casey Mayo

Family Nurse Practitioner · Carriere, MS

NPI number 1902514680 Active

Practice location

200 Course Drive, Suite M
Carriere, MS 39426-9037

Fax (769) 242-0099

Mailing address

PO Box 1089
Hammond, LA 70404-1089

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X905668 (MS)

Family Nurse Practitioner: Definition to come...

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About NPI 1902514680

Gavin Casey Mayo's National Provider Identifier is 1902514680, issued on Nov 10, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Carriere, MS. The record was last updated on Jan 12, 2023.