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JEANNINE A RACEY CGNP
NPI 1891711784
Nurse Practitioner - Gerontology in Gulfport, MS

Active since July 14, 2006
1530 BROAD AVE, GULFPORT, MS 39501(228) 865-1330(228) 865-1331 Get Directions Write a Review

NPPES record last updated: March 10, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jeannine A Racey Cgnp NPPES

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

JEANNINE A RACEY CGNP (NPI 1891711784) is an individual gerontology provider in Gulfport, Mississippi, licensed in Mississippi (R725927) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1891711784
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameJEANNINE A RACEYCredential: CGNP
Location Address1530 BROAD AVEGulfport, MS 39501-3601
Mailing AddressPo Box 6705Gulfport, MS 39506-6705 · (228) 865-1330 · Fax (228) 865-1331
Phone(228) 865-1330
Fax(228) 865-1331
Sole ProprietorNo
Enumeration DateJuly 14, 2006
Last NPPES UpdateMarch 10, 2011
✔ NPI 1891711784 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MS · R725927
1530 BROAD AVE, Gulfport, MS 39501
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Other Identifiers 5

OtherP00342756Railroad Medicare
Medicare PIN500002176
Medicare PINC02221
Medicare UPINQ71133
Medicaid02858597MS

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
MRS. JESSICA FUQUA NP-C
Nurse Practitioner (Family)
1530 BROAD AVE
GULFPORT, MS 39501
Harrison County (228) 865-1330
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

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 Jeannine Racey's NPI number?

The NPI number for Jeannine Racey is 1891711784. It was assigned to this individual provider in the NPPES registry on July 14, 2006.

Where is Jeannine Racey located?

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

What is Jeannine Racey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Jeannine Racey was last updated on March 10, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.