Individual
MRS. CASEY ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1340 BROAD AVE STE 310, GULFPORT, MS 39501-2464
(228) 575-1400
Mailing address
PO BOX 1810, GULFPORT, MS 39502-1810
(282) 575-1194
(228) 575-2917
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
R883628
MS
Other
Enumeration date
02/16/2015
Last updated
10/14/2022
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