person
Jeanette Shabazz
Family Nurse Practitioner in Ocean Springs, Mississippi
NPI 1073916771

Jeanette Shabazz is a Family Nurse Practitioner based in Pascagoula, MS and is specialized in Family. Jeanette Shabazz practices in Ocean Springs, MS. The NPI Number for Jeanette Shabazz is 1073916771 and holds a License No. R885984 (Mississippi).

The current practice location address for Jeanette Shabazz is 3890 Bienville Blvd, Ocean Springs, MS and can be reached out via phone at 228-872-6291 and via fax at 228-875-3385.

Location: 3890 Bienville Blvd, Ocean Springs, MS, 39581-4117
person
Provider Profile Details
NPI Number
1073916771
Provider Name
Jeanette Shabazz
Credential
Provider Entity Type
Individual
Gender
Female
Address
3890 Bienville Blvd, Ocean Springs, MS, 39581-4117
Phone Number
228-872-6291
Fax Number
228-875-3385
Provider Enumeration Date
10/08/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
07576018 05 MS
institution
Provider Business Practice Location Address Details
Address
3890 Bienville Blvd
City
State
Zip
39564-5803
Phone Number
228-872-6291
Fax Number
228-875-3385
person
Provider Business Mailing Address Details
Address
3890 Bienville Blvd
City
State
Zip
39564-5803
Phone Number
228-872-6291
Fax Number
228-875-3385
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
R885984 (Mississippi)
Definition
Definition to come...
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