Organization · Type 2 NPI
Primesource Nursing Services, Inc
Psychiatric/Mental Health Nurse Practitioner · Gulfport, MS
NPI number
1952884652
Active
Practice location
1500 Broad Ave
Gulfport, MS 39501-3601
Fax (228) 865-1331
Mailing address
PO Box 6705
Gulfport, MS 39506-6705
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1952884652
Primesource Nursing Services, Inc's National Provider Identifier is 1952884652, issued on Sep 10, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Gulfport, MS. The record was last updated on Sep 10, 2018.