Individual
MRS. CONNIE B RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
180B DEBUYS RD, SUITE 223, BILOXI, MS 39531-4404
(228) 388-4862
(228) 388-2556
Mailing address
117 BEACH PARK PL, LONG BEACH, MS 39560-6223
(228) 214-3300
(228) 214-3344
Taxonomy
Speciality
Code
Description
License number
State
363LS0200X
School Nurse Practitioner
Primary
R702226
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00123168
—
MS
01
—
640654841
TRICARE FOR LIFE
MS
Enumeration date
12/05/2006
Last updated
03/17/2025
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