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

Larry Bourrage, RN

Individual provider Registered Nurse · NPI 1528829512

Larry Bourrage, RN is a Registered Nurse in Collinsville, Mississippi. Licensed in Mississippi. Registered with an NPI since 2024.

Licensed in
MS
In the registry since
2024
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

See every abbreviation used in this directory →

Practice location Address checks out

12485 Schamberville Ln
Collinsville, MS 39325-9195
Phone: (601) 480-4754
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence R890304 (MS)

Record details

NPI number1528829512
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorNo
NPI enumeratedJanuary 17, 2024
Last updated in NPPESJanuary 17, 2024
Certification dateJanuary 17, 2024
Mailing address12485 Schamberville Ln, Collinsville, MS 39325-9195

Other providers in Collinsville