MRS. NP-C Jennifer L Jurich, NPI 1366774879
Family Nurse Practitioner in Gulfport, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1366774879
NPI Entity Type Individual
Provider Name MRS. NP-C Jennifer L Jurich
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 15476 Dedeaux Rd, Gulfport, MS, US
Provider Mailing Address 6300 E Lake Blvd Ste 301, Vancleave, MS, US, 395656771
Gender Female
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

363LF0000X

Taxonomy Name Family Nurse Practitioner
Classification

Nurse Practitioner

Group

Physician Assistants & Advanced Practice Nursing Providers

License No. R872972
License State MS
Description Definition to come...

Other Name

NP-C Jennifer L Henderson
Other Name

Business Address

MRS. NP-C Jennifer L Jurich
15476 Dedeaux Rd

Gulfport, MS, US

Phone: 228-230-2663

Mailing Address

MRS. NP-C Jennifer L Jurich
6300 E Lake Blvd Ste 301
Vancleave, MS, US
ZIP 395656771
Phone: 228-230-2663

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

163WE0003X

Nursing Service Providers

Registered Nurse

R872972 MS No

Other Providers in MS, US

NPI Name Taxonomy Address

1225531486

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IDD WAIVER SERVICES Pamela Mcandrews

Individual

Day Training/Habilitation Specialist

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