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PRIMESOURCE NURSING SERVICES, INC
NPI 1801987870
Nurse Practitioner in Gulfport, MS

Active since September 27, 2006
4906 KENDALL AVE, GULFPORT, MS 39507(228) 865-1330(228) 865-1331 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Primesource Nursing Services, Inc NPPES

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

PRIMESOURCE NURSING SERVICES, INC (NPI 1801987870) is a healthcare organization registered as a nurse practitioner in Gulfport, Mississippi and active in the NPI registry since September 2006. The organization lists Jana Leigh Plauche, President, as its authorized official.

NPPES Registry Identity

NPI1801987870
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NamePRIMESOURCE NURSING SERVICES, INC
Location Address4906 KENDALL AVEGulfport, MS 39507-4409
Mailing AddressPo Box 6705Gulfport, MS 39506-6705 · (228) 865-1330 · Fax (228) 865-1331
Phone(228) 865-1330
Fax(228) 865-1331
Organization SubpartNo
Authorized OfficialJana Leigh PlauchePresident · (228) 865-1330
Enumeration DateSeptember 27, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1801987870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4906 KENDALL AVE, Gulfport, MS 39507
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Other Identifiers 1

Medicaid06550237MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Primesource Nursing Services, Inc's NPI number?

The NPI number for Primesource Nursing Services, Inc is 1801987870. It was assigned to this organization in the NPPES registry on September 27, 2006.

Where is Primesource Nursing Services, Inc located?

Primesource Nursing Services, Inc is located at 4906 Kendall Ave, Gulfport, MS 39507. The listed phone number is (228) 865-1330.

What is Primesource Nursing Services, Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Primesource Nursing Services, Inc was last updated on August 22, 2020. 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.