Individual
KATHERINE P GRIFFIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
38 PASS RD STE A, GULFPORT, MS 39507-3107
(228) 865-1330
(228) 865-1331
Mailing address
38 PASS RD STE A, GULFPORT, MS 39507-3107
(228) 865-1330
(228) 865-1331
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP3396982
FL
363L00000X
Nurse Practitioner
Primary
R887779
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304688500
—
FL
01
—
Y1066
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/19/2006
Last updated
12/22/2016
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