Individual
JEANIE WYBLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1133 45TH AVE, GULFPORT, MS 39501-2564
(228) 865-7299
Mailing address
PO BOX 366, GULFPORT, MS 39502-0366
(228) 865-7299
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R723134
MS
Other
Enumeration date
03/08/2007
Last updated
10/30/2009
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