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GAUTIER FAMILY CLINIC, LLC
NPI 1942962816
Nurse Practitioner in Gautier, MS

Active since October 08, 2021
4533B GAUTIER VANCLEAVE RD, GAUTIER, MS 39553(228) 202-5924(228) 202-5918 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gautier Family Clinic, Llc NPPES

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

GAUTIER FAMILY CLINIC, LLC (NPI 1942962816) is a healthcare organization registered as a nurse practitioner in Gautier, Mississippi and active in the NPI registry since October 2021. The organization lists Laura R. Boleware, Owner, as its authorized official.

NPPES Registry Identity

NPI1942962816
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameGAUTIER FAMILY CLINIC, LLC
Location Address4533B GAUTIER VANCLEAVE RDGautier, MS 39553
Mailing AddressMarcia Easterwood, P.o. Box 177Ellisville, MS 39437 · (601) 800-8580 · Fax (601) 800-8583
Phone(228) 202-5924
Fax(228) 202-5918
Organization SubpartNo
Authorized OfficialLaura R. BolewareOwner · (601) 800-8580
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1942962816 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.
4533B GAUTIER VANCLEAVE RD, Gautier, MS 39553
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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 Gautier Family Clinic, LLC's NPI number?

The NPI number for Gautier Family Clinic, LLC is 1942962816. It was assigned to this organization in the NPPES registry on October 8, 2021.

Where is Gautier Family Clinic, LLC located?

Gautier Family Clinic, LLC is located at 4533B Gautier Vancleave Rd, Gautier, MS 39553. The listed phone number is (228) 202-5924.

What is Gautier Family Clinic, LLC'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 Gautier Family Clinic, LLC was last updated on October 8, 2021. 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.