SearchMississippi207R00000X

Johnathan Vu

NPI 1477293868 · on the registry since 2022

Practice

Address
4500 13th St
Gulfport, MS 39501
Phone
(228) 867-4000
Organisation at this address
Boles Llc
Etas, Pllc
Caredoc Llc
Care Doc Llc
Care Doc Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
261

Additional practice sites

  • 1430 Tulane Ave # 8050, New Orleans, LA

Registry record

Primary taxonomy
207R00000X
207R00000X
Licence states on file
MS
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-07-10

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