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

Individual provider Nurse Practitioner · NPI 1205440898

Krystal Lynn Sitthivong, CNP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2020, 6 years ago. Practices with Memorial Hospital at Gulfport, a 470-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
6
Licensed in
MS
In the registry since
2020
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

4500 13th St
Gulfport, MS 39501-2569
Phone: (228) 867-4499
Fax: (228) 867-5027
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 904763 (MS)

Record details

NPI number1205440898
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 1, 2020
Last updated in NPPESDecember 9, 2021
Certification dateDecember 9, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Memorial Hospital At Gulfport — 470 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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