Janine Gibbs Larry (NPI# 1164971131, PAC ID# 8325317621) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1164971131 |
| PAC ID by PECOS | 8325317621 |
| Professional Enrollment ID | I20170629001879 |
| Full Name | Janine Gibbs Larry |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Address |
16391 Robinson Rd Gulfport MS 39503-4816 |
| Phone Number | 2288328400 |
| Gender | F |
| Graduation Year | 2012 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 6709030133 |
| Number of Group Practice Members | 39 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1215 Earl Frye Blvd, Amory, MS 38821-5509 | 6622569344 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 176 Hwy 9 N, Bruce, MS 38915 | 6624125100 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 49 Willow Creek Ln, Byram, MS 39272-9255 | 6018634201 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1201 Gunter Rd, Florence, MS 39073-9711 | 6019396371 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1500 Broad Ave, Gulfport, MS 39501-3601 | 2288681314 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 16391 Robinson Rd, Gulfport, MS 39503-4816 | 2288328400 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 10 Medical Blvd, Hattiesburg, MS 39401-7230 | 6012643709 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 2 Courtland Dr, Hattiesburg, MS 39402-8542 | 6012969711 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1600 Raymond Rd, Jackson, MS 39204-4203 | 6013711700 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 323 Industrial Park, Liberty, MS 39645-8069 | 6016571000 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1308 Hwy 51, Madison, MS 39110-7205 | 6018534343 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 925 Mangum Ave, Mendenhall, MS 39114-3026 | 6018471311 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 517 33rd St, Meridian, MS 39305-3944 | 6014833916 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 2797 Cooper Rd, Picayune, MS 39466-2213 | 6017991616 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 868 Mulberry St, Vaiden, MS 39176-5385 | 6624647714 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| 1122 N Eshman Ave, West Point, MS 39773-5436 | 6624946011 | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Organization Legal Name | TRIDENTUSA MOBILE CLINICAL SERVICES LLC |
| Physicians | 50 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Regina Mercer Ward | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 239 Arrowhead Blvd, Jonesboro, GA 30236-1101 |
| Aquita Thomas | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 7054 Veterans Pkwy, Pell City, AL 35125-5117 |
| Irene Mutembei | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 3605 Ratliff Rd, Birmingham, AL 35210-4512 |
| Gina Marie Sumpter | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 2217 W Ave, Ashtabula, OH 44004-3107 |
| Lauren Mcminn | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 101 Villa Dr, Daphne, AL 36526-4653 |
| Dawn Renee Pomaibo | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 601 S Church St, Mount Pleasant, PA 15666-1703 |
| Jacinta Tokeya Stegall | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 405 Briarwood Dr, 103g, Jackson, MS 39206-3029 |
| Mary Elizabeth Maceachern-crain | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 301 S Perimeter Dr, Suite 123, Nashville, TN 37211-4128 |
| Terri Hipp | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 909 W St, Pittsburgh, PA 15221-2833 |
| Terry Jean Nesmith | Nurse Practitioner | Tridentusa Mobile Clinical Services LLC | 100 Woodmont Rd, Johnstown, PA 15905-1342 |
| Street Address |
16391 ROBINSON RD |
| City | GULFPORT |
| State | MS |
| Zip | 39503-4816 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jonathan Dwaine Brown | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Clarence Ray Quave Jr. | Physical Therapy | Encore Rehabilitation Inc | 15476 B Dedeaux Rd, Gulfport, MS 39503-2637 |
| Cherryl D Purvis | Nurse Practitioner | Heart Hypertension Cholesterol and Diabetes Care LLC | 15444 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Joseph M Frame | Physical Therapy | 15444 Dedeaux Rd A, Gulfport, MS 39503-2637 | |
| Ricky D Roach | Podiatry | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | |
| Henry T Leis | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Ophelia Abrahams | Occupational Therapy | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Jason Lowery | Physician Assistant | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Eric Jason Graham | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Nicole Lynn Johnson | Nurse Practitioner | Bienville Orthopaedic Specialists, LLC | 15476 Dedeaux Rd, Suite B, Gulfport, MS 39503-2637 |
| Find all physicians in zip 39503 | |||
| City | GULFPORT |
| Zip Code | 39503 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GULFPORT + NURSE PRACTITIONER |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.