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

Mr. Ralph Lane Burroughs III, NP

Individual provider Registered Nurse · NPI 1760674949

Mr. Ralph Lane Burroughs III, NP is a Nurse Practitioner in Gulfport, Mississippi. Qualified in 2007, 19 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Mississippi.

Years since qualifying
19
Licensed in
MS
In the registry since
2007
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

8990 Lorraine Rd
Gulfport, MS 39503-4176
Phone: (228) 331-3310
Fax: (228) 284-1608
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence R855758 (MS)
Registered Nurse Taxonomy 163W00000X · Licence R855758 (MS)

Record details

NPI number1760674949
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedAugust 13, 2007
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Gulfport