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JEREMY LOUIS STOVER IDC
NPI 1104006246
Military Health Care Provider - Independent Duty Corpsman in Gulfport, MS

Active since November 06, 2007
55101 MARVIN SHIELDS BLVD, GULFPORT, MS 39501(228) 229-0411 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jeremy Louis Stover Idc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY LOUIS STOVER IDC (NPI 1104006246) is an individual independent duty corpsman provider in Gulfport, Mississippi and active in the NPI registry since November 2007.

NPPES Registry Identity

NPI1104006246
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameJEREMY LOUIS STOVERCredential: IDC
Location Address55101 MARVIN SHIELDS BLVDGulfport, MS 39501
Mailing Address55101 Marvin Shields BlvdGulfport, MS 39501
Phone(228) 229-0411
Sole ProprietorNo
Enumeration DateNovember 6, 2007
✔ NPI 1104006246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
55101 MARVIN SHIELDS BLVD, Gulfport, MS 39501
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Stover's NPI number?

The NPI number for Jeremy Stover is 1104006246. It was assigned to this individual provider in the NPPES registry on November 6, 2007.

Where is Jeremy Stover located?

Jeremy Stover practices at 55101 Marvin Shields Blvd, Gulfport, MS 39501. The listed phone number is (228) 229-0411.

What is Jeremy Stover's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Jeremy Stover was last updated on November 6, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.