Organization · Type 2 NPI

Gautier Family Clinic, LLC

Nurse Practitioner · Gautier, MS

NPI number 1942962816 Active

Practice location

4533B Gautier Vancleave Rd
Gautier, MS 39553

Fax (228) 202-5918

Mailing address

Marcia Easterwood, P.o. Box 177
Ellisville, MS 39437

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 1942962816

Gautier Family Clinic, LLC's National Provider Identifier is 1942962816, issued on Oct 8, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gautier, MS. The record was last updated on Oct 8, 2021.