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

Memorial Hospital at Gulfport

Organization Family Nurse Practitioner · NPI 1124392329

Memorial Hospital at Gulfport is a Family Nurse Practitioner in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2012.

Licensed in
MS
In the registry since
2012

Practice location Address checks out

4500 13th St
Gulfport, MS 39501-2515
Phone: (228) 867-4000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R878630 (MS)

Record details

NPI number1124392329
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kent Nicaud — Office Manager/Administrator · (228) 867-4000
NPI enumeratedMarch 6, 2012
Last updated in NPPESMarch 6, 2012
Mailing addressPo Box 555, Biloxi, MS 39533-0555

Other providers in Gulfport