Individual
PAULETTE DAWKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.F.N.P.
Contact information
Practice address
1612 31ST AVE, GULFPORT, MS 39501-2750
(228) 864-8454
(228) 865-1457
Mailing address
1110 BROAD AVE, SUITE 700, GULFPORT, MS 39501-8907
(228) 864-0314
(228) 864-0425
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R813565
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00192859
RAILROAD MEDICARE
MS
05
—
08229286
—
MS
Enumeration date
08/20/2006
Last updated
08/24/2010
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