Search › Mississippi › 363LF0000X
Jessica Fuqua, NP-C
NPI 1235548363 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1530 Broad Ave
Gulfport, MS 39501 - Phone
- (228) 865-1330
- Fax
- (228) 865-1331
- Organisation at this address
- Ms Hud Boyington, Llc
Pensacola Health Trust Inc
1530 Broad Avenue Operations, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Additional practice sites
- 3050 Regent Blvd, Irving, TX
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
363LF0000X - Licence states on file
- TN, NM, MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-21
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