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

Individual provider Family Nurse Practitioner · NPI 1386125383

Kendra Iesha Samuel, FNP is a Nurse Practitioner in Wiggins, Mississippi. Qualified in 2018, 8 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
8
Licensed in
MS
In the registry since
2018
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1434 Central Ave E
Wiggins, MS 39577-9602
Phone: (601) 928-6600
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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 902802 (MS)

Record details

NPI number1386125383
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorYes
NPI enumeratedAugust 27, 2018
Last updated in NPPESOctober 22, 2020
Certification dateOctober 22, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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