LARRY BOURRAGE RN
NPI 1528829512
Registered Nurse in Collinsville, MS

Active since January 17, 2024
12485 SCHAMBERVILLE LN, COLLINSVILLE, MS 39325(601) 480-4754 Get Directions Write a Review

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Larry Bourrage Rn NPPES

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

LARRY BOURRAGE RN (NPI 1528829512) is an individual registered nurse in Collinsville, Mississippi, licensed in Mississippi (R890304) and active in the NPI registry since January 2024.

NPPES Registry Identity

NPI1528829512
Entity TypeIndividualMale
Primary Taxonomy163W00000X
Provider Legal NameLARRY BOURRAGECredential: RN
Location Address12485 SCHAMBERVILLE LNCollinsville, MS 39325-9195
Mailing Address12485 Schamberville LnCollinsville, MS 39325-9195 · (601) 480-4754
Sole ProprietorNo
Enumeration DateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
✔ NPI 1528829512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered NurseNursing Service Providers
Taxonomy Code163W00000X
License✔ Licensed in MS · R890304
Definition
(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
12485 SCHAMBERVILLE LN, Collinsville, MS 39325

Other Names 1

Professional Name (2)Larry Bourrage Rn

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 Larry Bourrage's NPI number?

The NPI number for Larry Bourrage is 1528829512. It was assigned to this individual provider in the NPPES registry on January 17, 2024. The provider is also known as Larry Bourrage Rn.

Where is Larry Bourrage located?

Larry Bourrage practices at 12485 Schamberville Ln, Collinsville, MS 39325. The listed phone number is (601) 480-4754.

What is Larry Bourrage's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Larry Bourrage was last updated on January 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.