Individual provider · Type 1 NPI

Yolanda Patrice Long, NURSE PRACTITIONER

Primary Care Nurse Practitioner · Pascagoula, MS

NPI number 1912302159 Active

Practice location

3702 Jefferson Ave
Pascagoula, MS 39563-6218

Fax (228) 205-4593

Mailing address

1240 Broad Ave Ste B
Gulfport, MS 39501-2416

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300X905597 (MS)
Family Nurse Practitioner 363LF0000X1-099664 (AL)
Registered Nurse 163W00000XR866997 (MS)

Primary Care Nurse Practitioner: Definition to come...

4 other providers at this address

About NPI 1912302159

Yolanda Patrice Long, NURSE PRACTITIONER's National Provider Identifier is 1912302159, issued on Oct 30, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Pascagoula, MS. The record was last updated on Mar 14, 2024.