Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Collier Buckley, AGACNP-BCFNP-BC

Individual provider Family Nurse Practitioner · NPI 1598488660

Jennifer Collier Buckley, AGACNP-BCFNP-BC is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2022, 4 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022
Specialties on file
2
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Practice location Address checks out

4500 13th St
Gulfport, MS 39501-2569
Phone: (228) 861-5255
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 905386 (MS)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 905386 (MS)

Record details

NPI number1598488660
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BCFNP-BC
Sole proprietorYes
NPI enumeratedSeptember 22, 2022
Last updated in NPPESSeptember 22, 2022
Certification dateSeptember 22, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Gulfport