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

Jeanette Shabazz

Individual provider Family Nurse Practitioner · NPI 1073916771

Jeanette Shabazz is a Nurse Practitioner in Ocean Springs, Mississippi. Qualified in 2014, 12 years ago. Accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
12
Licensed in
MS
In the registry since
2014
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Practice location Address checks out

3890 Bienville Blvd
Ocean Springs, MS 39564-5803
Phone: (228) 872-6291
Fax: (228) 875-3385
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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 R885984 (MS)

Record details

NPI number1073916771
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2014
Last updated in NPPESJanuary 11, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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