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

Susan L Dubose, FNP-BC

Individual provider Family Nurse Practitioner · NPI 1619274032

Susan L Dubose, FNP-BC is a Nurse Practitioner in Sumrall, Mississippi. Qualified in 2010, 16 years ago. Practices with Hattiesburg Clinic PA, a 530-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
16
Licensed in
MS
In the registry since
2011
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

1238 Highway 42
Sumrall, MS 39482-9519
Phone: (601) 758-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 222 S 27th Ave, Hattiesburg, MS 39401-7165 — (601) 450-3030
  • 30 Circle J Dr Ste 1, Laurel, MS 39440-1981 — (601) 425-0092
  • 403 Pine St, Taylorsville, MS 39168-5659 — (601) 785-0202

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence R872039 (MS)

Record details

NPI number1619274032
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedFebruary 21, 2011
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Hattiesburg Clinic Pa — 530 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sumrall