Individual
GRACE PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
12303 HIGHWAY 49, GULFPORT, MS 39503-2780
(228) 206-6882
Mailing address
13637 LAWTON LN, GULFPORT, MS 39503-6503
(228) 669-1895
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
905021
MS
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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