JILLIAN R DEDEAUX CSFA
NPI 1710566336
Physician Assistant - Surgical in Gulfport, MS

Active since April 02, 2021
14247 N SWAN RD, GULFPORT, MS 39503(228) 297-6640 Get Directions Write a Review

NPPES record last updated: April 2, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jillian R Dedeaux Csfa NPPES

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

JILLIAN R DEDEAUX CSFA (NPI 1710566336) is an individual surgical provider in Gulfport, Mississippi and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1710566336
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameJILLIAN R DEDEAUXCredential: CSFA
Location Address14247 N SWAN RDGulfport, MS 39503-8551
Mailing AddressPo Box 7095Gulfport, MS 39506-7095 · (228) 297-6640
Sole ProprietorNo
Enumeration DateApril 2, 2021
NPPES CertifiedApril 2, 2021
NPI 1710566336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
14247 N SWAN RD, Gulfport, MS 39503

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Surgical)
14247 N SWAN RD
GULFPORT, MS 39503
Physician Assistant
14247 N SWAN RD
GULFPORT, MS 39503

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 Jillian Dedeaux's NPI number?

The NPI number for Jillian Dedeaux is 1710566336. It was assigned to this individual provider in the NPPES registry on April 2, 2021.

Where is Jillian Dedeaux located?

Jillian Dedeaux practices at 14247 N Swan Rd, Gulfport, MS 39503. The listed phone number is (228) 297-6640.

What is Jillian Dedeaux's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Jillian Dedeaux was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.