JESSICA E SHORES IDC
NPI 1215232830
Military Health Care Provider - Independent Duty Corpsman in Pascagoula, MS

Q: What is Jessica Shores's NPI number?

The NPI number for Jessica Shores is 1215232830. It was assigned to this individual provider in the NPPES registry on January 12, 2011.

Q: What is Jessica Shores's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jessica Shores was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 12, 2011

1000 ACCESS RD BLDG 2026, PASCAGOULA, MS 39567(228) 935-3361 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jessica E Shores Idc NPPES

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

JESSICA E SHORES IDC (NPI 1215232830) is an individual independent duty corpsman provider in Pascagoula, Mississippi and active in the NPI registry since January 2011.

NPPES Registry Identity

NPI1215232830

Entity TypeIndividualFemale

Primary Taxonomy1710I1002X

Provider Legal NameJESSICA E SHORESCredential: IDC

Location Address1000 ACCESS RD BLDG 2026Pascagoula, MS 39567

Mailing Address1000 Access Rd Bldg 2026Pascagoula, MS 39567-4485 · (228) 935-3361

Phone(228) 935-3361

Sole ProprietorYes

Enumeration DateJanuary 12, 2011

Last NPPES UpdateJune 4, 2018

✔ NPI 1215232830 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.

1000 ACCESS RD BLDG 2026, Pascagoula, MS 39567

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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 Jessica Shores's NPI number?

The NPI number for Jessica Shores is 1215232830. It was assigned to this individual provider in the NPPES registry on January 12, 2011.

Where is Jessica Shores located?

Jessica Shores practices at 1000 Access Rd Bldg 2026, Pascagoula, MS 39567. The listed phone number is (228) 935-3361.

What is Jessica Shores'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 Jessica Shores was last updated on June 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.