Organization
PRIMESOURCE NURSING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHETT PLAUCHE (PRESIDENT)
(228) 865-1330
Entity
Organization
Contact information
Practice address
2279 ATKINSON RD, BILOXI, MS 39531-2209
(228) 865-1330
(228) 865-1331
Mailing address
PO BOX 6705, GULFPORT, MS 39506-6705
(228) 865-1330
(228) 865-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/16/2019
Last updated
05/16/2019
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