PRIMESOURCE NURSING SERVICES, INC
NPI 1952884652
Nurse Practitioner - Psychiatric/Mental Health in Gulfport, MS

Active since September 10, 2018
1500 BROAD AVE, GULFPORT, MS 39501(228) 865-1330(228) 865-1331 Get Directions Write a Review

NPPES record last updated: September 10, 2018. 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 1952884652) is a healthcare organization registered as a psychiatric/mental health in Gulfport, Mississippi and active in the NPI registry since September 2018. The organization lists Rhett Plauche, President, as its authorized official.

NPPES Registry Identity

NPI1952884652
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NamePRIMESOURCE NURSING SERVICES, INC
Location Address1500 BROAD AVEGulfport, MS 39501-3601
Mailing AddressPo Box 6705Gulfport, MS 39506-6705 · (228) 865-1330 · Fax (228) 865-1331
Fax(228) 865-1331
Organization SubpartYes
Authorized OfficialRhett PlauchePresident · (228) 865-1330
Enumeration DateSeptember 10, 2018
NPI 1952884652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1500 BROAD AVE, Gulfport, MS 39501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Internal Medicine
1500 BROAD AVE
GULFPORT, MS 39501
Skilled Nursing Facility
1500 BROAD AVE
GULFPORT, MS 39501

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 1952884652. It was assigned to this organization in the NPPES registry on September 10, 2018.

Where is Primesource Nursing Services, Inc located?

Primesource Nursing Services, Inc is located at 1500 Broad Ave, Gulfport, MS 39501. 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, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Primesource Nursing Services, Inc was last updated on September 10, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.