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

Primesource Nursing Services, Inc

Organization Clinical Social Worker · NPI 1962573170

Primesource Nursing Services, Inc is a Clinical Social Worker in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1822 15th St Ste A
Gulfport, MS 39501-2104
Phone: (228) 865-1330
Fax: (228) 865-1331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7381 (MS)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1962573170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jana Plauche — Vice President · (228) 865-1330
NPI enumeratedNovember 10, 2006
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 6705, Gulfport, MS 39506-6705

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