Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gautier Family Clinic, LLC

Organization Nurse Practitioner · NPI 1942962816

Gautier Family Clinic, LLC is a Nurse Practitioner in Gautier, Mississippi. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4533B Gautier Vancleave Rd
Gautier, MS 39553
Phone: (228) 202-5924
Fax: (228) 202-5918
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1942962816
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Laura Boleware — Owner · (601) 800-8580
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing addressMarcia Easterwood, P.O. Box 177, Ellisville, MS 39437

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