Organization
GULFPORT SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN EAST (SUPERINTENDENT)
(228) 865-4600
Entity
Organization
Contact information
Practice address
1526 MILLS AVE, GULFPORT, MS 39501-3618
(228) 865-1903
(228) 865-4701
Mailing address
2001 PASS RD, GULFPORT, MS 39501-4902
(228) 865-4600
(228) 865-1918
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
R580708
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03325213
—
MS
Enumeration date
05/21/2007
Last updated
10/22/2007
Update your record
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