COAST NURSE PRACTITIONERS, INC
NPI 1962683623
Nurse Practitioner - Family in Vancleave, MS

Active since November 21, 2007
13300 RS KIMBALL RD, VANCLEAVE, MS 39565(228) 826-4600(228) 392-8393 Get Directions Write a Review

NPPES record last updated: November 21, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Coast Nurse Practitioners, Inc NPPES

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

COAST NURSE PRACTITIONERS, INC (NPI 1962683623) is a healthcare organization registered as a family in Vancleave, Mississippi and active in the NPI registry since November 2007. The organization lists John M Martin, Owner, as its authorized official.

NPPES Registry Identity

NPI1962683623
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOAST NURSE PRACTITIONERS, INC
Location Address13300 RS KIMBALL RDVancleave, MS 39565-7235
Mailing AddressPo Box 5386Vancleave, MS 39565-5386 · (228) 826-4600 · Fax (228) 392-8393
Fax(228) 392-8393
Organization SubpartNo
Authorized OfficialJohn M MartinOwner · (228) 826-4600
Enumeration DateNovember 21, 2007
NPI 1962683623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in MS · R851501
13300 RS KIMBALL RD, Vancleave, MS 39565

Other Identifiers 3

Medicare PINC03299MS
Medicare UPINP20213MS
Medicaid00126136MS

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

The NPI number assigned to this healthcare provider is 1962683623, enumerated as an "organization" on November 21, 2007.

The provider is located at 13300 RS KIMBALL RD VANCLEAVE, MS 39565 and the phone number is (228) 826-4600.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.