Individual provider · Type 1 NPI
Crystal De' Jean Heathington, NP-C
Nurse Practitioner · Gulfport, MS
Practice location
428 Courthouse Rd Ste B
Gulfport, MS 39507-1868
Fax (228) 207-0409
Mailing address
428 Courthouse Rd
Gulfport, MS 39507-1867
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 903121 (MS) |
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 1992269617
Crystal De' Jean Heathington, NP-C's National Provider Identifier is 1992269617, issued on Jan 27, 2019. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Gulfport, MS. The record was last updated on Aug 18, 2021.