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John Smith, CRNP
NPI 1114021359 · on the registry since 2006
Practice
- Address
- 15190 Community Rd Ste 120
Gulfport, MS 39503 - Phone
- (228) 205-6825
- Fax
- (228) 831-8782
- Organisation at this address
- Fjp Llc
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D Balder Md, PllcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 78
Registry record
- Primary taxonomy
- Acute Care Nurse Practitioner
363LA2100X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi