Primesource Nursing Services, INC
NPI #1952884652 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1952884652
- Entity Type
- Organization
- Organization Name
- Primesource Nursing Services, INC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- PRIMESOURCE NURSING SERVICES, INC
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Sep 10, 2018
- Last Updated
- Sep 10, 2018
Practice Location
- Address
- 1500 BROAD AVE
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39501-3601
- Phone
- (228) 865-1330
Authorized Official
- Name
- RHETT PLAUCHE
- Title
- PRESIDENT
- Phone
- (228) 865-1330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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