Individual
GINA E BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNFP
Contact information
Practice address
13066 SHRINERS BLVD STE A, BILOXI, MS 39532-8616
(228) 333-0133
(228) 901-5939
Mailing address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7382
(228) 864-0546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R852435
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05487763
—
MS
Enumeration date
10/18/2005
Last updated
07/12/2022
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