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MRS. JESSICA FUQUA NP-C
NPI 1235548363
Nurse Practitioner - Family in Gulfport, MS

Active since August 02, 2014
1530 BROAD AVE, GULFPORT, MS 39501(228) 865-1330(228) 865-1331 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Aug 17, 2017 (3 updates tracked since 2017).

About Mrs. Jessica Fuqua Np-c NPPES

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

MRS. JESSICA FUQUA NP-C (NPI 1235548363) is an individual family provider in Gulfport, Mississippi, licensed in Mississippi (902207) and active in the NPI registry since August 2014. She maintains a secondary practice location in Irving.

NPPES Registry Identity

NPI1235548363
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. JESSICA FUQUACredential: NP-C
Location Address1530 BROAD AVEGulfport, MS 39501-3601
Mailing Address38 Pass Rd Ste AGulfport, MS 39507-3107 · (228) 865-1330 · Fax (228) 865-1331
Phone(228) 865-1330
Fax(228) 865-1331
Sole ProprietorYes
Enumeration DateAugust 2, 2014
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
✔ NPI 1235548363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MS · 902207✔ Licensed in TN · 18863✔ Licensed in NM · CNP-02586
1530 BROAD AVE, Gulfport, MS 39501
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Secondary Practice Location 1

Location 13050 Regent Blvd, Suite 100Irving, TX 75063-3196 · Phone (214) 689-3600

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLAIR GUICE ADERHOLD
Physical Therapist
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 861-5397
ELIZABETH ANDERSON DPT
Physical Therapist
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 864-6544
JILL BOYER
Physical Therapy Assistant
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 864-6544
ANALEICIA MATTHEWS
Occupational Therapy Assistant
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 864-6544
1530 BROAD AVENUE OPERATIONS, LLC
Skilled Nursing Facility
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (253) 278-2258
TISHA NICOLE RADICH COTA/L
Occupational Therapy Assistant
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 864-6544
PENSACOLA HEALTH TRUST INC
Skilled Nursing Facility
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 864-6544
MRS. AMBER MATHIS COOLEY OTR/L
Occupational Therapist
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 864-6544

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 Fuqua's NPI number?

The NPI number for Jessica Fuqua is 1235548363. It was assigned to this individual provider in the NPPES registry on August 2, 2014.

Where is Jessica Fuqua located?

Jessica Fuqua practices at 1530 Broad Ave, Gulfport, MS 39501. The listed phone number is (228) 865-1330.

What is Jessica Fuqua's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Jessica Fuqua was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.