Jeanette Shabazz (NPI# 1073916771, PAC ID# 9537483458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1073916771 |
| PAC ID by PECOS | 9537483458 |
| Professional Enrollment ID | I20150126001369 |
| Full Name | Jeanette Shabazz |
| Address |
4310 Chicot St Pascagoula MS 39581-4700 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | NURSE PRACTITIONER |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250040 | SINGING RIVER HOSPITAL |
| 250007 | MERIT HEALTH BILOXI |
| Address | Phone | Organization |
|---|---|---|
| 4500 13th St, Gulfport, MS 39501-2515 | 2288675201 | MEMORIAL HOSPITAL AT GULFPORT |
| 4310 Chicot St, Pascagoula, MS 39581-4700 |
| Street Address |
4310 CHICOT ST |
| City | PASCAGOULA |
| State | MS |
| Zip | 39581-4700 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher A Burks | Orthopedic Surgery | Bienville Orthopaedic Specialists, LLC | 3615 Hospital St, Pascagoula, MS 39581-4112 |
| Vernon Webb Doster | General Practice | 3616 Hospital St D, Pascagoula, MS 39581-4117 | |
| John W Benus | Podiatry | 4311 Chicot St, Pascagoula, MS 39581-4701 | |
| David W Turner | Chiropractic | 4303 Chicot St, Pascagoula, MS 39581-4701 | |
| Ashley N Hilsabeck | Nurse Practitioner | Singing River Health System | 2819 Denny Ave, Pascagoula, MS 39581-5301 |
| Gary Blake Steward | Certified Registered Nurse Anesthetist (crna) | Singing River Health System | 2809 Denny Ave, Pascagoula, MS 39581-5301 |
| Randy C Roth | Internal Medicine | Singing River Health System | 2809 Denny Ave, Pascagoula, MS 39581-5301 |
| Suzanne Ayers Iodice | Internal Medicine | Singing River Health System | 2809 Denny Ave, Pascagoula, MS 39581-5301 |
| Leah Patano | Certified Registered Nurse Anesthetist (crna) | Singing River Health System | 2809 Denny Ave, Pascagoula, MS 39581-5301 |
| Juliet W Richards | Nurse Practitioner | Emergency Room Group Ltd | 2809 Denny Ave, Pascagoula, MS 39581-5301 |
| Find all physicians in zip 39581 | |||
| City | PASCAGOULA |
| Zip Code | 39581 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | PASCAGOULA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Jeanette Shabazz.
| 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.