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

Clarissa Jordan Rico

Individual provider Family Medicine Physician · NPI 1437017050

Clarissa Jordan Rico is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2025, 1 year ago. Licensed in Mississippi.

Years since qualifying
1
Licensed in
MS
In the registry since
2026

Practice location Address checks out

15200 Community Rd
Gulfport, MS 39503-3085
Phone: (228) 369-4218
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence F01260370 (MS)

Record details

NPI number1437017050
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 13, 2026
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

Other providers in Gulfport