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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1356080618

Derriyan Lanae Price, DO is a Student in an Organized Health Care Education/Training Program in Gulfport, Mississippi. Works from 2 locations. Licensed in Virginia.

Licensed in
VA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

5502 Marvin Shields Blvd Bldg 472
Gulfport, MS 39501
Phone: (228) 822-5061
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2080 Child St Dept 5000, Jacksonville, FL 32214-5000 — (904) 542-7300

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 0102208259 (VA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 0102208259 (VA)
Military Health Care Provider Taxonomy 171000000X

Record details

NPI number1356080618
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 3, 2022
Last updated in NPPESJuly 23, 2025
Certification dateJuly 15, 2025

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