PRIMESOURCE NURSING SERVICES, INC


Address: 4906 Kendall Ave, Gulfport, MS 39507-4409
Phone: 2288651330

PRIMESOURCE NURSING SERVICES, INC (NPI# 1801987870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801987870
Entity Type Organization
Organization Name PRIMESOURCE NURSING SERVICES, INC
Practice Address 4906 Kendall Ave
Gulfport
MS 39507-4409
Mailing Address Po Box 6705
Gulfport
MS 39506-6705
Practice Telephone 2288651330
Practice Fax Number 2288651331
Mailing Telephone 2288651330
Mailing Fax Number 2288651331
Enumeration Date 2006-09-27
Last Update Date 2020-08-22
Authorized Official Name MRS. JANA LEIGH PLAUCHE (PRESIDENT)
Authorized Official Telephone 2288651330
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MS 06550237 05

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1114583994 Primesource Nursing Services, Inc Nurse Practitioner 2279 Atkinson Rd, Biloxi, MS 39531-2209 2019-05-16
1952884652 Primesource Nursing Services, Inc Social Worker 1500 Broad Ave, Gulfport, MS 39501-3601 2018-09-10
1962573170 Primesource Nursing Services, Inc Social Worker 38 Pass Rd Ste A, Gulfport, MS 39507-3107 2006-11-10

Office Location

Street Address 4906 KENDALL AVE
City GULFPORT
State MS
Zip Code 39507-4409

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609389105 Karen R Burns Speech-Language Pathologist 3506 Washington Avenue, Ste E, Gulfport, MS 39507 2017-11-07
1538605027 Andrea Broussard Personal Emergency Response Attendant 406 Pass Rd, Gulfport, MS 39507 2017-01-09
1366872491 William Alexis Marcia Pharmacist 1444 East Pass Road, Gulfport, MS 39507 2013-11-27
1740599380 Advanced Hearing Systems, Inc. Hearing Instrument Specialist 401 Security Square, Gulfport, MS 39507 2010-09-30
1497068118 Stacey Ritter Carter Dentist 1635 East Pass Road, Gulfport, MS 39507 2010-07-22
1477789964 Letonoff Orthopaedics & Sports Orthopaedic Surgery 452 Court House Road, Suite G, Gulfport, MS 39507 2009-06-10
1730385139 Bernard Frederick Podlin Dentist 400 Pass Road, Gulfport, MS 39507 2007-06-22
1043422553 Mark D Stringer Dentist 520-a Courthouse Road, Gulfport, MS 39507 2007-05-04
1154543528 Pass Road Elementary Registered Nurse 37 Pass Road, Gulfport, MS 39507 2007-05-03
1417073768 John Hough Hopkins Dentist 3303 A Ave, Gulfport, MS 39507 2007-03-21
Find all providers in zip 39507

Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy 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.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356960777 Jennifer M Hunter Nurse Practitioner 8970 Lorraine Rd, Gulfport, MS 39503-4176 2020-04-15
1831720242 Amanda R Woodcock Nurse Practitioner 1391 Broad Ave Ste A, Gulfport, MS 39501-2419 2020-02-04
1528428182 Teresa Kay Guy Nurse Practitioner 6107 Kipps Colony Dr W, Gulfport, FL 33707-3969 2016-02-25
1255608816 828 Walk In Clinic Nurse Practitioner 12207 Hwy 49, Suite 40, Gulfport, MS 39503 2011-11-28
1326343484 Kelli Michelle Garrigues Nurse Practitioner 1110 Broad Ave Ste 700, Gulfport, MS 39501-8908 2011-01-21
1386815694 Heather Nicole Swann Nurse Practitioner 4333 15th St Ste B, Gulfport, MS 39501 2008-03-13
1013064245 Leigh P Drace Nurse Practitioner 394 Courthouse Rd Ste A, Gulfport, MS 39507-1866 2007-01-03
1659477693 Gary Dalton Gentry Nurse Practitioner 4500 13th Street, Wound Care, Gulfport, MS 39501 2006-09-16
1487673406 Katherine P Griffis Nurse Practitioner 38 Pass Rd Ste A, Gulfport, MS 39507-3107 2006-07-19
1982671921 Karen Rimanich Boudreaux Nurse Practitioner 15024 Martin Luther King Jr. Blvd., Gulfport, MS 39501-8306 2006-03-08
Find all providers in GULFPORT

Competitor

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City GULFPORT
Zip Code 39507

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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