Organization · Type 2 NPI
Primesource Nursing Services, Inc
Family Nurse Practitioner · Gulfport, MS
NPI number
1962573170
Active
Practice location
1822 15th St Ste A
Gulfport, MS 39501-2104
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 |
| Family Nurse Practitioner Primary | 363LF0000X | 7381 (MS) |
Family Nurse Practitioner: Definition to come...
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About NPI 1962573170
Primesource Nursing Services, Inc's National Provider Identifier is 1962573170, issued on Nov 10, 2006. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Gulfport, MS. The record was last updated on Jun 8, 2026.